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James Lineman, DDS Nathan Weaker, DDS 3037970832 www.integrativedentalofdenver.com 771 South Park Drive, Suite 100, Littleton, CO 80120Release of Records Patient Information and Consent Form I, ___
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Individuals who are authorizing the release of their records to our office.
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What is pdfidd release-of-records-to-our-officerevised copy fixed?
The fixed version of the pdfidd release-of-records-to-our-officerevised copy has corrected errors or issues.
Who is required to file pdfidd release-of-records-to-our-officerevised copy fixed?
Anyone who needs to submit records to a specific office as per the requirements.
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The form should be completed with accurate and up-to-date information.
What is the purpose of pdfidd release-of-records-to-our-officerevised copy fixed?
The purpose is to request the release of records to a designated office.
What information must be reported on pdfidd release-of-records-to-our-officerevised copy fixed?
Details of the records being released and relevant contact information should be included.
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