Medical Release Form
You will need to have your local doctor send a copy of your medical records to Dr. Cook at VitalCare Institute of Health. Print out the Medical Release form, complete it and send it to your doctor.

You will need Adobe Acrobat 5.0 or higher to view and view and print the VitalCare Institute of Health Medical Records Release Form. If you do not have Adobe Acrobat 5.0 or higher please click on the link below, download and install the software on your computer.

Click here to download the latest version of Adobe Acrobat:

Updated November 5, 2006

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The information contained on this web page is considered informational and is not intended as medical advice. You should seek the advice and care of your local physician. Information on this web site is subject to change without any notice. The information on this web page may include technical inaccuracies or typographical errors.