Medical Release Forms

Your medical records are confidential, and a copy can be transferred to another doctor or released to you or another person only through your permission. If you choose to have your records transferred, you will need to sign an authorization form allowing us to release your records. The front desk can provide you with an authorization form or you can download a copy here.

Medical Release Forms Available by Location

Click on a location below to download a medical release form.

  • Shewsbury- Dr. Resnikoff — Once complete you can fax it to (732) 414-6204 OR mail it to The Derm Group 347 Mount Pleasant Avenue, Suite 205, West Orange, NJ 07052 Attn: Medical Records/Shrewsbury.
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