Deborah L. Ungerleider, MD, LLC
Deborah L. Ungerleider, MD, LLC

Record Release Form

Previous patients: To release your records to your new physician,  print out this form (click on the link below to download the form).

 

If you have questions about the process, please email Dr. Ungerleider at yupeds@yahoo.com



Record Transfer Request new.pdf
Adobe Acrobat document [115.5 KB]

Where to Find Us:

Deborah L. Ungerleider, MD, LLC

 

(201) 444-8389 

yupeds@yahoo.com

 

For medical writing:

debbie@drdebbieungerleider.com

 

 

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© Deborah L. Ungerleider, MD, LLC