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Send Records From Ideal Pediatrics

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

  • Fill out this form.

  • Pay the fees using link below:

    • $10 handling fee

    • Expedited fee for under 48 hours, add $25. ​

Standard records transfer may take up to 30 days. ​
​​​​​​​You may also print and mail the form and payment. Checks must clear before records can be sent.

State information on reasonable charges for transferring medical records.

Chart Transfer FROM Ideal Pediatrics
Patient name
Roya1234 none 8:00 am - 4:30 pm 8:00 am - 4:30 pm 8:00 am - 4:30 pm 8:00 am - 4:30 pm 8:00 am - 4:30 pm Closed Closed