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Record Release Form Lima Dental Associates hereby authorize Dr. (Former Dentist's Name) to provide Lima Dental Associates with copies of my dental records with respect to any dental care and treatment
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How to fill out online limadental record release

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How to fill out online limadental record release

01
Go to the LimaDental website.
02
Look for the 'Patient Forms' or 'Medical Records' section.
03
Find the online limadental record release form.
04
Click on the form to open it.
05
Fill out the required information, such as your full name, contact details, and date of birth.
06
Read the terms and conditions carefully.
07
Sign the form electronically or by using a digital signature tool.
08
Submit the form online.
09
Wait for confirmation or further instructions from LimaDental.
10
If necessary, follow up with LimaDental to ensure they have received and processed your record release request.

Who needs online limadental record release?

01
Anyone who wants to transfer their medical records to LimaDental or authorize the release of their records to another healthcare provider may need to fill out the online limadental record release form. This includes current patients, new patients, and individuals who have received treatment or services from LimaDental in the past.
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Online limadental record release is a process that allows patients to electronically request and authorize the release of their dental records from a dental provider.
Patients who wish to transfer their dental records to another provider or obtain a copy for personal use are required to file an online limadental record release.
To fill out the online limadental record release, patients need to provide their personal information, details of the dental provider, and any specific records they wish to request. The form is typically submitted through the provider's secure online portal.
The purpose of the online limadental record release is to facilitate the secure and efficient transfer of dental records between providers or to patients, ensuring continuity of care.
The information that must be reported includes the patient's name, contact information, details of the dental provider, specified records being requested, and the patient's signature for authorization.
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