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Medical Records Request Form of Pain Rehabilitation Associates Medical Record Release (PMR)-form.
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Please print, sign and bring with you to your appointment or fax to 414-755-4764.
We invite you to contact us for an appointment today to see and feel the difference our team at Pain Rehabilitation Associates can make in your life. Call 888-YBN-PAIN today - we often can accommodate same day appointments. Visit our For Patients section to know learn more (e.g. what forms and documents you may need).