P.O. Box 998, Pittsford N.Y. 14534

rkerpermd@gmail.com

rkerpermd@gmail.com

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    • Home
    • Patient Services & Forms
    • Insurance and Billing
    • Pay My Bill
  • Home
  • Patient Services & Forms
  • Insurance and Billing
  • Pay My Bill

Robert M Kerper MD

Robert M Kerper MDRobert M Kerper MDRobert M Kerper MD

Internal Medicine

Internal MedicineInternal Medicine

Patient Services

 

EMERGENCIES:

If you are experiencing a life-threatening emergency, CALL 911, or go to the Emergency Room.


Transferring Records

If you need a copy of your records sent to your new physician, here are the steps that need to be completed.  


  • Download, print and complete the Release of Health Information form below.  Your records cannot be released without this completed form, signed by you or your legal representative. 
  • Contact URMC Primary Care Network at 784-7848.  Since URMC has custody of your record, you will need to send this form to them.


Your medical record is private and protected health information.   It is for this reason that your written permission is needed to transfer your records to another provider or entity.  

Patient Forms

 Please click on any of the links below to display the form in a new browser tab. 

Medical Records Release Form (pdf)Download

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