Dupont Circle Physicians Group

 1737 20th Street, NW  Washington, DC 20009
 p: 202-745-0201   f: 202-332-2794

If you are transfering your care from another office to our office please fill out  the following form and mail/fax to the office you wish to receive your records from.  

Please do not send/bring the form to us as it will only delay the proscess of your patient records.

     Record Release Form