Medical Records Release Forms

Medical Records Release Forms

Black Hills Pediatrics, LLP

Medical form

Medical Records Release Forms

Do you need to release your child's medical records to another clinic, to a specialist or to their school? Utilize the convenient form below to release your child's medical records to your preferred destination.


Are you joining the Black Hills Pediatrics, LLP family? We'd love to have your child as our newest patient! Click on the second link below to complete the release form to send your child's medical records to our clinic.


If you have any questions about completing or submitting the medical release forms, please give our office a call at (605) 341-7337 today.


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