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]
TMR to AMC.pdf
Adobe Acrobat document [54.8 KB]
FROM Alvior Medical Clinic
TMR from AMC.pdf
Adobe Acrobat document [55.2 KB]
Adobe Acrobat document [55.2 KB]
MasterCard, Visa
1905 W. Busch Blvd.
Tampa, FL 33612
Phone: 813.365.3525
Fax: 813.365.3515
Clinic Hours:
Tues/Thurs/Fri
9:00 AM - 4:00 PM
Wed 2:00 PM - 7:00 PM
The Clinic is open on Mondays from 9am-4pm for administrative purposes only.
We are TELEMEDICINE capable! Please call to set up an appointment.
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