div class=ts-pagebutton class=gotoPage data-page=1Page 1button div class=ts-imageimg data-url=c1-fort-myers-fl-33907-239-936-0181-release-of-records-i-hereby-authorize-thehtmlpage=1 data-page=1 class=ts-thumb lazyload alt=Page 1: c1-previewprositescomc1-previewprositescom38754wydocsNewPatientFormspdf · FORT MYERS FL 33907 239 936-0181 RELEASE OF RECORDS I hereby authorize the office ofDr Scott loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader033vdocumentsmxreader033viewer20220603045f09062d7e708231d424dda4html5thumbnails1jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=2Page 2button div class=ts-imageimg data-url=c1-fort-myers-fl-33907-239-936-0181-release-of-records-i-hereby-authorize-thehtmlpage=2 data-page=2 class=ts-thumb lazyload alt=Page 2: c1-previewprositescomc1-previewprositescom38754wydocsNewPatientFormspdf · FORT MYERS FL 33907 239 936-0181 RELEASE OF RECORDS I hereby authorize the office ofDr Scott loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader033vdocumentsmxreader033viewer20220603045f09062d7e708231d424dda4html5thumbnails2jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=3Page 3button div class=ts-imageimg data-url=c1-fort-myers-fl-33907-239-936-0181-release-of-records-i-hereby-authorize-thehtmlpage=3 data-page=3 class=ts-thumb lazyload alt=Page 3: c1-previewprositescomc1-previewprositescom38754wydocsNewPatientFormspdf · FORT MYERS FL 33907 239 936-0181 RELEASE OF RECORDS I hereby authorize the office ofDr Scott loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader033vdocumentsmxreader033viewer20220603045f09062d7e708231d424dda4html5thumbnails3jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=4Page 4button div class=ts-imageimg data-url=c1-fort-myers-fl-33907-239-936-0181-release-of-records-i-hereby-authorize-thehtmlpage=4 data-page=4 class=ts-thumb lazyload alt=Page 4: c1-previewprositescomc1-previewprositescom38754wydocsNewPatientFormspdf · FORT MYERS FL 33907 239 936-0181 RELEASE OF RECORDS I hereby authorize the office ofDr Scott loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader033vdocumentsmxreader033viewer20220603045f09062d7e708231d424dda4html5thumbnails4jpg width=140 height=200 divdiv