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RUN SHEET COPIES

TOYS FOR TOTS PROGRAM

 

ATTENTION ATTORNEYS!
If you are contacting us to request a copy of a run sheet for your client, please include the following information in your request to speed up the process:

1 - Patient's Name
2 - Date of Birth
3 - Date of Incident
4 - Location of Incident
5 - A signed release form from the patient or parent of the patient if a minor
6 - An email address to speed up delivery

Thank you for your attention in this matter. Failure to provide the above information will result in unnecessary delays.  If you have any questions, please contact Jack Casella at 609-618-7154