Florida Perinatal Center, LLC.
Maternal Fetal Medicine
Christine F. Edwards, M.D., FACOG
Laura Laffineuse, M.D., FACOG
9750 N.W. 33rd Street, Suite 120
Coral Springs, FL 33065
9325 W. Glades Road, Suite 206
Boca Raton, FL 33434
I understand that, under Florida Law, the classification of records checked above relating to treatment rendered to me are privileged and confidential and cannot be released to me or those designated by me or my legal guardian without an expressed and informed consent. In addition, I understand that those records will not be released to persons and agencies other than those designated by me or my personal representative or otherwise provided by Florida law.