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  • Home
  • Bonus pages
    • Our Services
    • About us
    • Pricing table
    • Testimonial
    • Medical Forms
  • Contact Us
  • Perfect Gift

Medical Forms

Disclosure of Protected Health Information

To request a copy of your medical records, please filll out and sign the Disclosure of Protected Health Information and e-mail it to This email address is being protected from spambots. You need JavaScript enabled to view it.. You can also fax your request to 650-638-0788. Please note that we charge a cost-based fee to copy your medical record.

  • Address: 146 South Blvd., San Mateo, CA 94402, U.S.A
  • Phone: 650-638-1988
  • Email: info@bodybalanceandbeyond.com
 

About Us

A Small, Passionate and Powerful Team Located in San Mateo, CA

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Services

  • Schroth Scoliosis
  • Physical Therapy
  • Gyrotonic
  • Massage Therapy
  • Personal Training
 
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