Affiliated Health of Wisconsin - medical-records-request

Medical Records Request Form of Affiliated Health of Wisconsin.

Please print, sign, and bring with you to your appointment or fax to 414-755-4764.

WAUWATOSA CENTER
2626 N Wauwatosa Ave, #105
Wauwatosa, WI 53213
Pain Rehabilitation: 414-771-2707
Physical Therapy: 414-774-7794

WAUKESHA CENTER
2727 N Grandview Blvd, #100
Waukesha, WI 53188
Pain Rehabilitation: 262-548-0807
Physical Therapy: 262-548-0544

OAK CREEK CENTER
7001 S Howell Ave, #800
Oak Creek, WI 53154
Pain Rehabilitation: 414-856-9990
Physical Therapy: 414-856-0303

RACINE CENTER
6211 Durand Ave., #202
Mt Pleasant, WI 53406
Pain Rehabilitation: 262-898-0600
Physical Therapy: 262-898-0611

APPOINTMENT REQUEST

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