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Health Information Requests

Health Information Requests

Our health information library contains more than 6,000 topics on adult medical, pediatric, adolescent, obstetric and gynecologic information. Information on prescription drugs and over-the-counter drugs is also available.

This information can be faxed, mailed or e-mailed to you. Please complete the following form:

Your Name (first and last):
Date of birth:
E-mail address:
Postal address:
City:
State:
Zip code:
Fax number:
Day phone:
Evening phone:

How would you like the information sent to you?
Fax
E-mail
Postal mail

Please list the topics you are interested in:


Albert Einstein Healthcare Network does not share or sell your information to any outside organizations. However, this form is not on a secure server, and your information could be viewed by an outside source.

Questions or comments about this site?

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