Dr. Paul Shin is now with Cleveland Clinic Medina Hospital. 

970 E. Washington St., 2C

Medina, Ohio 44256


Office: 330-721-5700



For Medical Record Release

Requests for copies of your medical record will be processed upon receipt of proper written instructions and authorization, per federal and state requirements. There may be a medical records processing fee required at the time of request.  Please allow 14-30 days from the date of your request for our staff to complete its processing.

Medical Release Form

Please download and print a copy of the medical records release form below. Patients must complete the form in its entirety including: which specific medical records are needed, the recipient of the records (name, complete address, and phone number), and the purpose of the request to avoid any processing delays. Requests must then be mailed or faxed.

Interventional Pain Consultants

Medical Records

P.O. Box 1261

Bath, Ohio 44210-1261



 Download medical release form


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   87 Springside Dr., Suite A, Akron, Ohio 44333   ph: (330) 666-3102 

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