Thank you for connecting with us. We will respond to you shortly. Please allow 7-14 business days for a reply from admin@faithpeds.com Please remember to please check your spam folder. 11https://faithpeds.com/wp-content/plugins/nex-formsfalsehttps://faithpeds.com/thank-you/redirecthttps://faithpeds.com/wp-admin/admin-ajax.phphttps://faithpeds.com/medical-records-formyes1fadeInfadeOut Faith Pediatrics Medical Records FormPatient Information (Please indicate in the comment box if the child is a Newborn - 5 month.) 1st Child's Name1st Child's Date Of Birth2nd Child's Name2nd Child's Date Of Birth3rd Child's Name3rd Child's Date Of Birth4th Child's Name4th Child's Date Of BirthParent/Legal Guardian Name I am requesting that Faith Pediatrics & Adolescent release the medical records of the above mentioned patients records to the following email address.*EmailComment BoxSubmit