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Medical Forms

For help with filling out medical leave forms (disability, family medical leave, etc.) please talk to your Fox Chase doctor.

How to Request a Copy of Your Medical Records

Medical Records Department: 215-728-2640
Requests for your medical records must be made in writing. To complete your request, we may charge a fee for costs of copying, mailing or other supplies.

Business hours are 9 am-5 pm, Monday through Friday.

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