Jennifer Johnson, M.D.

Dr. Johnson has closed her practice.

If you have been a patient of Dr. Johnson's and would like to have your records transferred to another provider, or to receive a copy of your record, please download this form. You can right-click the hyperlink to save it to your computer.

You may also complete a record transfer request at your new provider's office. Mental health professionals generally do not request copies of a patient's record.

After completing the form, return it 
by mail to PO Box 9996, Newport Beach, CA 92658-1996
or by fax to (949) 625-7516. 
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