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Dr. Wasim Haque
V. Jane Zepeda, PA-C
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Medical Records:
A copy of your medical record may be obtained by filling out a medical records release form at the front desk. We ask that you give us a minimum of 72 hours to prepare the copies. The charge for the medical records will depend upon the number of pages copied (minimum $25). Full payment is necessary before we can give you your copies. We will mail or fax your records to a doctor or hospital at no charge with the appropriate signed medical records release form.

Form Fee:

If you wish the doctor to fill out any forms for FMLA, disability, employment reasons, or legal matters, there is a $25 form fee charge.

Complex Telephone Calls:

We reserve the right to charge you for medical care provide over complex or frequent telephone calls. This will not be billed to your insurance. The fee may vary from $15 to $30 depending on the complexity of calls.