Authorization to Release Medical Records TO Soundview - Use this to transfer records from your former doctor TO Soundview Medical. Please fax the completed form to your former doctor.
	Authorization to Release Medical Records FROM Soundview - Use this to transfer records from Soundview Medical. Please fax the completed form to (203) 845‐9193 or mail to : Medical Records Department, Soundview Medical Associates, 761 Main Ave., Norwalk, CT 06851.
	Notice of Patient Privacy Practices

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