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Date Authorization for Release of Dental Records and Rays hereby authorize the release of records (print patient or guardian name)concerning dental health and copies of all rays. (patient name (s)Patient's
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Hereby authorize form is a document that grants permission or consent for a specific action or transaction.
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The purpose of hereby authorize form is to ensure that permissions or consents are properly documented and acknowledged.
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The information that must be reported on hereby authorize form includes the details of the authorization being granted, the date of authorization, and any other relevant information.
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