Woodbridge Office: 2280 Opitz Blvd · Suite 230 · Woodbridge, VA 22191 · (703) 583-5959 | Chantilly Office: 3914 Centreville Rd · Suite 200 · Chantilly, VA 20151 · (703) 490-5599 | Fax: (703) 583-5995
I have been informed of Potomac Podiatry Group’s records release protocol. I understand Potomac Podiatry Group, PLLC will not be responsible for any security breach of my personal information.
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This Records Release expires 90 days after signed. Please allow up to 30 days to receive records.
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Paper Copy Fees: $15.00 Administration fee, plus $0.50 per page for first 50 pages and $0.25 per page thereafter
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