Our Practice has Permanently Closed.
Doctor Narvaez-Lugo would like to thank you for allowing her and her staff to serve you.
We are sadden for our closing but excited for the future. If you have any concern please feel free to contact us at the information below.
This document will allow us to share by fax your records with your providers. All requests for the release of medical records must be submitted in writing and must be dated and signed by the patient or the patient’s legally authorized representative.
Completed requests forms can be returned via email or fax.
- Email: firstname.lastname@example.org
- Fax: 1-844-368-9002
- Print out of medical records, requires a fee to be paid prior to mailing records. Fees are as follow based on the effective statement in the Department of Health: (a) For the first 25 pages, the cost shall be $1.00 per page; (b) For each page in excess of 25 pages, the cost shall be 25 cents.
Medical Release Form (Electronic Version)
(electronic form located at the bottom of this page)
Our New Location:
Digestive and Liver Center
Florida and the Endo-Surgical
Center of Florida