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PATIENT FORMS

 Medical Records Release Request 

To request a copy of your medical records from our office, please complete this online request form.

 

If the records are to be sent to another healthcare provider or hospital, kindly ensure their fax number is included in the form.

 

Please allow up to three (3) business days for your request to be processed.

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Lakshmi Sathya MD

305 South Dr. Unit #4
Mountain View
CA 94040

CONTACT

Telephone: (650) 666-0033
Billing Only: (650) 864-4700
Fax: (650) 300-4647

OFFICE HOURS

Monday - Friday:
9 AM - 3 PM (PST)

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