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Rx/Medical Release Form
Please click here
to print the Right to Access and Consent for Release of Protected Health Information (PHI) form.
Then fill out the form and mail or fax it to:
Your local Discount Drug Mart Store.
- find your store here.
- or -
Discount Drug Mart's Corporate Office.
Attn: Pharmacy Operations/Medical Records
211 Commerce Drive
Medina, OH 44256
Fax: 330-764-4857
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