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  • If you are a current or new patient wanting to send us sensitive medical information, please use the following link for a safe, encrypted, secure way to transfer these files to us.

    Information to send this way includes:

    • Downloaded New Patient Forms
    • Lab results
    • Medical records
    • Updated medicine or supplement lists
    • Any other health or financial data that would benefit from extra security

    If you don't already have copies of what you want to share with us and you need to request records from another medical office, please fill out our Records Release form at the bottom of this form and we will contact the offices on your behalf.

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  • CONTINUE TO THE NEXT PAGE TO FILL OUT THE OPTIONAL RECORDS RELEASE AUTHORIZATION. IF YOU DO NOT NEED TO FILL OUT A RECORDS RELEASE, PLEASE SELECT SUBMIT NOW.

  • Records Release Authorization

    You will need to fill out a separate form for each office you wish to request records.
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  • I hereby authorize and request you to release to:

    Lewis Family Natural Health
    16 Sterling Street
    Asheville, NC 28803
    Phone: 828-298-4800

    The following information:

         

    I authorize the release of photocopies of the following medical records. Records or files shall include all confidential communicable disease-related information, confidential alcohol or drug abuse-related information and confidential mental health diagnosis/treatment information.

    Concerning my illness and/or treatment from   Pick a Date   to   Pick a Date   

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