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To request an appointment, laboratory results, copies of your medical record, immunizations, or medication refills you may complete this form or send us an e-mail ([email protected]). We check our website frequently when the office is opened. Please note, that if you need an appointment today or tomorrow, we recommend that you call the office, rather than use this form. We will try to accommodate your request to the best of our ability. If you have any question, kindly call the office at 215-643-7771. Thank you!