813.365.3525
813.365.3525

Transfer of Medical Records Consent Form

If you wish to get a copy of our medical consent forms, you can download them at the following links below:

TO Alvior Medical Clinic

Transfer of Medical Records Consent Form TO Alvior Medical Clinic
TMR to AMC.pdf
Adobe Acrobat document [54.8 KB]

FROM Alvior Medical Clinic

TMR from AMC.pdf
Adobe Acrobat document [55.2 KB]
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1905 W. Busch Blvd. 

Tampa, FL 33612

 

Phone: 813.365.3525

Fax: 813.365.3515

 

Clinic Hours:  

TUESDAYS & THURSDAYS

9:00 AM - 4:00 PM

WEDNESDAYS

2:00 PM - 7:00 PM

FRIDAYS 

9:00 AM - 2:00 PM

 

The Clinic is open on MONDAYS from  

9:00 AM to  2:00 PM for administrative purposes only.

We are TELEMEDICINE capable!  

Pls verify with your insurance if TELEHEALTH is covered.

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