DR. HORMOZE A. GOUDARZI HAS RETIRED
If you were a patient of Dr. Hormoze A. Goudarzi, please be advised that he has retired. Dr. Hormoze is no longer practicing at 721 New Hanover Medical Park Drive in Wilmington, North Carolina. The current provider is unaffiliated with his former practice.
To find another physician, you may contact the North Carolina Medical Society or visit the North Carolina Medical Board.
If you wish to obtain copies of your medical records, please download and complete the ‘Authorization to Release Information’ form below. Submit the form by postal mail or email. Records are provided free of charge.
Notice: By clicking to download the form, you acknowledge and consent that your session information (such as IP address, browser type, and time of access) may be logged for audit and security purposes. We do not sell or share this information.
Contact
Email: contact@spotlessveincare.com
Phone: (910)–899–0563.
Submit via Email Instructions:
- Scan or take clear photos of the completed and signed form.
- Attach the file to an email.
- Send to contact@spotlessveincare.com
Submit via Postal Mail Instructions:
Mail the signed form to:
Dr. Hormoze A. Goudarzi
PO Box 16513
Wilmington, NC, 28408
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