Dear Patients
A written authorization from the patient is required in order
for Medical Tips Center to release reply on the required
counseling information. The Information form can be downloaded
(see below), mailed, or faxed.
You will need Adobe Acrobat Reader 4.0 or higher to view
or print the .pdf file below. To get the latest update, go
to:
Please click
here to Download the PDF File, which you will
Fill it in and fax it to us (Fax: +961 128 08 18 )
A patient may also send a letter to us with his/her full
name, address, social security number, date of birth, phone
number, signature, and the specific information requested.
If mental health information is requested, additional information
may be required. The information will be mailed to the address
on the release form or letter of the request. Requests should
be mailed to:
Medical Tips Center
Fax:+961 128 08 18
Beirut-Lebanon
Email: support@medical-tips.com
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