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  • Home
    • HIPAA
    • Office Policies
  • Contact
  • About
    • History of Psychoanalytic Method
  • Integrated Service
  • FAQ
  • Disclaimer
  • askcatholicpsychiatrist
    • Answer to Prayers
Authorization for use and disclosure of medical information
To have your medical records sent to the provider of your choice, please download and complete forms below (choose the form that  applies to you). 
                                                                                                   

For questions call 562-528-9119
                                      Mail completed and signed form(s) to:
                                                                    Thelma Angeles, M.D.
                                                                     PO BOX 7272
                                                                     Long Beach, CA 90807


phi_release_authorization.pages
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authorization_for_phi_release_10-29-19.pages
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verbal_consent_for_phi_release_10-29-19.pages
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