Medical Records Request Form

Marlboro First Aid and Rescue Squad Medical Records Release

​In order to obtain any medical records from the Marlboro First Aid Squad you need to follow the following directions:

1. Complete the below pdf document in its entirety.
   Have the form notorized.
   E-mail the notorized pdf document to records@marlborofirstaid.org
   All record requests require a $25 check/money order or other monetary arrangement made to the Marlboro First Aid and Rescue Squad.

hipaa.pdf
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