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Upper East Side Gynecology

Expert & compassionate health care for women

Upper East Side Gynecology Forms:

All forms are also accessible on the patient portal.

Authorization To Release Medical Records

**After the forms are filled out, you may fax it back to us at 212-988-8737 or email it to our HIPAA Secure email ([email protected]).

Please note this email is ONLY intended for record release request forms, not medical questions for the doctors as they do not see these emails.

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