div class=trans-pagebuttonPage 1button div class=trans-image amp-img class=trans-thumb alt=Page 1: c1-previewprositescomc1-previewprositescom38754wydocsNewPatientFormspdf · FORT MYERS FL 33907 239 936-0181 RELEASE OF RECORDS I hereby authorize the office ofDr Scott src=https:reader033fdocumentsinreader033viewer20220603045f09062d7e708231d424dda4html5thumbnails1jpg width=142 height=106 layout=responsive amp-img divdivdiv class=trans-pagebuttonPage 2button div class=trans-image amp-img class=trans-thumb alt=Page 2: c1-previewprositescomc1-previewprositescom38754wydocsNewPatientFormspdf · FORT MYERS FL 33907 239 936-0181 RELEASE OF RECORDS I hereby authorize the office ofDr Scott src=https:reader033fdocumentsinreader033viewer20220603045f09062d7e708231d424dda4html5thumbnails2jpg width=142 height=106 layout=responsive amp-img divdivdiv class=trans-pagebuttonPage 3button div class=trans-image amp-img class=trans-thumb alt=Page 3: c1-previewprositescomc1-previewprositescom38754wydocsNewPatientFormspdf · FORT MYERS FL 33907 239 936-0181 RELEASE OF RECORDS I hereby authorize the office ofDr Scott src=https:reader033fdocumentsinreader033viewer20220603045f09062d7e708231d424dda4html5thumbnails3jpg width=142 height=106 layout=responsive amp-img divdivdiv class=trans-pagebuttonPage 4button div class=trans-image amp-img class=trans-thumb alt=Page 4: c1-previewprositescomc1-previewprositescom38754wydocsNewPatientFormspdf · FORT MYERS FL 33907 239 936-0181 RELEASE OF RECORDS I hereby authorize the office ofDr Scott src=https:reader033fdocumentsinreader033viewer20220603045f09062d7e708231d424dda4html5thumbnails4jpg width=142 height=106 layout=responsive amp-img divdiv