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Patient Forms

Medical and Billing Record Release Forms

Use these forms when requesting transfer of your medical and billing records to or from another provider or to obtain a copy of your records:

General Patient Information - Optional

TriHealth Women39s Center Kenwood
For Internal Medicine and GYN, call (513) 853-7555
For acupuncture, call (513) 246-2636
Phones are answered Monday-Friday 8 a.m. to 5 p.m.; Saturday 9 a.m. to noon
*Off Galbraith Road, across from Kenwood Towne Centre
8240 Northcreek Drive, Suite 4100
Cincinnati, OH 45236