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RELEASE FORM FOR DENTAL X-RAYS

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Release Form | Rockingham Dental Group

Instructions for Patient Authority to Release Dental Records

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AUTHORIZATION TO RELEASE DENTAL INFORMATION



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The maintenance of a patient’s dental health is an ethical and a legal obligation of the dentist. If a patient finds the need to obtain their dental records, for …

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Authorization for Release of Dental Records and X-Rays

Consent Forms | Risk Management for Dental Practices

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Release Form | Whittaker Road Dental

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Dentist Name Office Phone # Patient Name Date of Exam

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Dentist Name Office Phone # Patient Name Date of Exam



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Canine Dental Release Form – Schmitt’s Animal Hospital

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Release Form | Apalachee Family Dental

Release Form | Rockingham Dental Group

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Release Form | Lebanon Dental Care