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Facility Billing Record (1-10 Pages) -
Physician Billing Records (1-10 Pages)
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Medical Records -
Notarized Affidavit or Deposition Questionnaire for Facility Billing Records -
Notarized Affidavit or Deposition Questionnaire for Physician Billing Record
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Notarized Affidavit or Deposition Questionnaire for Medical Records
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Notarized Affidavit or Deposition Questionnaire for Radiology Records
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Radiology Records (CD or Film) Without Affidavit -
Expedited Shipping -
Notarized Affidavit for No Facility Billing Records Available -
Notarized Affidavit for No Physician Billing Records Available
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Notarized Affidavit for No Medical Records Available
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Notarized Affidavit for No Radiology Records Available
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Notarized Affidavit or Deposition Questionnaire - Choose this Option if You Already Received Records and only Need an Affidavit or Questionnaire Completed.
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SSI Disability Requests for Medical Records
OFFICE ADDRESS
11490 Westheimer Road
10th Floor
Houston, TX 77077
Phone: 832.699.3777
Email: info@roundtmc.com
ADDITIONAL INFO
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