Mon–Fri 9AM–5PM · Same-day sick visitsLydia Elias, DO (310) 953-0020 office@lighthousepeds.com Torrance, CA
Patient forms

Records Release Authorization

About 3 minutes. Transfer your child’s records from a previous doctor, or send records from us to someone else.

Step 1 of 6Patient

Patient

Your answers go securely to our clinic and become part of your child’s chart. At the end you can download a PDF copy.

Prefer paper or a PDF?

1Your child