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ABOUT
PROVIDERS
Doctors
Dr. Oladapo M. Babatunde, MD, FAAOS
Dr. Marco Lawandy, DO, MS
Dr. Jason Hymowitz, DPM, FACFAS, DABPM
Physician Assistants
Catherine Elias, MS, PA-C
Antonio Kamel, MS, PA-C
CONDITIONS
Knee Conditions
Hip Conditions
Shoulder & Elbow Conditions
Hand & Wrist Conditions
Foot & Ankle Conditions
Nerve & Pain Conditions
Back & Neck Conditions
PROCEDURES
Knee Procedures
Hip Procedures
Shoulder & Elbow Procedures
Hand & Wrist Procedures
Foot & Ankle Procedures
Nerve & Pain Procedures
Back & Neck Procedures
PROTOCOLS
LOCATIONS
East Rutherford New Jersey Office
West Orange New Jersey Office
Paramus New Jersey Office
RESOURCES
Image Upload
Medical Records
Patient Referral
PT Auth Request
Booking Sheets
Blog
CONTACT
Medical Records
Dr. Oladapo Babatunde
2020-10-20T11:16:31-04:00
COSM Medical Records Request Form
Please Use This Form To Submit Medical Record Requests.
Please allow 10 Business Days for Processing.
If You Need Records Expedited, Please Call Our Office at
201-500-9450
.
Patient Name
*
First
Patient Date Of Birth
*
Requestor Name
*
First
Requestor Company
*
Requester Phone
*
Requestor Fax
*
Requestor Email
*
PLEASE UPLOAD AN AUTHORIZATION FOR RELEASE OF HEALTH INFORMATION OR YOUR REQUEST WILL NOT BE PROCESSED.
*
Accepted file types: pdf, Max. file size: 5 MB.