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PATIENT REQUEST TERMINATION OF DENTAL TREATMENT I patient of Elite Dental Care, Wish to discontinue my treatment immediately from the above named facility, releasing them from any liability for my

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4. Follow any specific formatting or formatting instructions. Some forms may require you to write in capital letters or use specific formats for dates, such as MM/DD/YYYY or DD/MM/YYYY. Adhere to these requirements to avoid any discrepancies.
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7. Review your completed form. Before submitting, go through the form once again to double-check for any errors or missing information. Ensure that all the fields are filled correctly and that nothing has been skipped.
8. Sign and date the form. Most forms will require your signature and date to validate the information provided. Make sure to sign in the designated space and write the current date.

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3. Individuals dealing with sensitive information: If you are handling confidential or sensitive information that needs to be sent via mail, you may need to use the "please mail form original" to request the original documents to be mailed to you rather than electronic copies or photocopies.

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