A. Michael Sadove, MD

Request For Release of Patient Information: Follow this link to download and print the
“Authorization to Use Or Disclose Information” form. This form can be completed
and faxed or U.S. Mailed to the Meridian Plastic Surgeons/Meridian Plastic Surgery Center
fax number/mailing address noted on the form. If you have questions, please call
our office: 317.575.0330