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Coordinated Health

Medical Records

Request Form

To access your records, download and complete form below. Your request may take up to two weeks to process.

AUTHORIZATION FOR RELEASE OF PROTECTED HEALTH INFORMATION

Medical Records Contact

Questions: Request 610-861-8080 ex. 36100

Mailing Address:

Medical Records Department,

3435 Winchester Road, 2nd Floor, Allentown, PA 18104

Fax Number: 610-841-5834