Children's Clinic of Pascagoula
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Medical Records Request

  • Prescription Refills
  • Referrals
  • Appointments
  • Patient Forms
  • Billing and Insurance
  • Medical Records Request

Medical Records Request

In order to request Medical Records from Children's Clinic, please use our Medical Records Form.

 

  • To have medical records released TO Children's Clinic.
  • To have medical records released FROM Children's Clinic.

 

These forms are also available at all of our locations if you are unable to download and print them. Please call for any medical records questions.

 

 

 

 

 

 

 

 

Pascagoula Office

Time:

  • Mon-Thu : 8:00 am - 5:00 pm
  • Friday : 8:00 am - 12:00 pm
  • Saturday : 8:30 am - 11:30 am

Address

  • 4105 Hospital St. Suite 103 Pascagoula, MS 39581
  • Phone: (228) 762-8712
  • Need driving directions?

Hurley Office

Time:

  • Mon-Thu : 8:00 am - 5:00 pm
  • Friday : 8:00 am - 12:00 pm
  • Saturday : Close

Address

  • 7301 Highway 614 Suite A Moss Point, MS 39562
  • Phone: (228) 588-6166
  • Need driving directions?

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Patient Services

  • Prescription Refills
  • Referrals
  • Appointments
  • Patient Forms
  • Billing and Insurance
  • Medical Records Request

Parents Services

  • FAQs
  • ADHD
  • Sports Physical
  • Premature Babies
  • Vaccination
  • Prenatal Conference

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