• Please print the attached  PDF document for authorization to disclose your protected medical information. 

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• Once this form has been completed it can be delivered to the front desk of any of our Atlantic Orthopaedic Specialists locations.

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• Please be aware there is a $25 fee associated with filing of any paperwork that is requested.

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• FMLA/Work Paperwork may take 7-10 business days to process.

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• You will receive notification when your paperwork is ready for pickup.