 to all whom this may concern hello i hope this message finds you well my reason for this communication is that im in need of a patient records release form for myself from november 2014 to may 2015 containing any all services provided bills records notes doctors social workers progress reports discharge date and instructions and send them electronically via email or to po box 109 keansburg nj 07734 thanking you kindly and have a nice day sincerely denise vaspory 