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Document No: PP2FM001 Date: 30 Apr 2021 Version Number: 01REQUEST FORM FOR RELEASE OF DENTAL RECORDS Instructions: 1. Patient has to enclose a photocopy of own ERIC (front view), passport or Birth
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First, open your preferred web browser and go to the XR Request DR Copydocx form.
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Fill in all the required fields such as your name, email, department, and the reason for requesting a copy of the DR document.
03
Review the information you have entered to ensure accuracy.
04
Click on the submit button to send your request for a copy of the DR document.
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Wait for a confirmation email or notification indicating that your request has been successfully received.

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Employees who require a copy of the DR document for reference or to fulfill their job responsibilities.
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XR request DR copydocx is a form used to request a copy of a specific document or record.
Any individual or organization seeking a copy of a specific document or record can file an XR request DR copydocx.
To fill out XR request DR copydocx, you need to provide your personal information, specify the document or record you are requesting, and submit the form to the appropriate authority.
The purpose of XR request DR copydocx is to request a copy of a specific document or record for personal or legal purposes.
The information that must be reported on XR request DR copydocx includes the requester's name, contact information, document or record details, and reason for the request.
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