Medical Release of Information - Travis Shaw MD 8730 Stony Point Parkway Suite 120 Richmond, VA 23235
Dr. Shaw Office Phone: 804-775-4559
Dr. Shaw Office Fax: 804-200-5649
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Above listed patient is giving the authorization for the facility listed below to send their Medical Records to Travis Shaw, M.D.:
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Above listed patient is giving the authorization for Travis Shaw, MD to send their Medical Records to the facility listed below:
Business or Facility Name:
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Fax #:
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