Intown Family Practice  & Sports Medicine, PC

PRACTICE HAS CLOSED EFFECTIVE 3/30/2020

Lawrence (Lee) L Golusinski Jr, MD

Medical Release forms are below.  

Form to transfer records to Piedmont Physicians at Midtown (keep seeing Dr. Golusinski)

Form to transfer records elsewhere

Send medical release / transfer of record requests to:

FAX:  404-719-5325

Email:  intownfpsm@aol.com



Home
Piedmont FAQs
Medical Release forms
Patient Page