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Richard Rodriguez, MD
210 Lookout Place
Maitland, FL 32751
Ph: (407) 215-0400
F: (407) 215-0402
Patient Forms
03
Bring this notarized consent form to grant permission to a non-custodial caregiver
02
Request your child's records to be sent from our office to a new care provider, or from another office to ours.
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