Acknowledgment of Release of Records to Patient

Please correct the errors described below.

have received from New Orleans Podiatry Associates and its affiliated agents a copy of my medical records in its entirety, including but not limited to physician progress notes, operative reports, radiology reports, laboratory results, and any external or internal information that has been created or collected on my behalf.

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New Orleans Podiatry Associates

2626 Jena Street, New Orleans, LA 70115 - t. 504.897.3627 f. 504.897.3339
3939 Houma Blvd, Bldg. 5, Ste. 217, Metairie, LA 70006 - t. 504.457.2300 f. |

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