To have records sent FROM Ideal Pediatrics to another facility follow these two steps:

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1.  Fill out this form.

2.  Pay the fees using link below:

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     $10 handling fee

     Expedited fee for under 48 hours, add $25.

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Standard records transfer may take up to 3o days. 

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You may also print and mail the form and payment.  Checks must clear before records can be sent.

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