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Get the free Dental Record RequestsSchool of Dental Medicine

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RECORDS RELEASE Date:___I, ___, authorize the release of my records, including xrays and any/all information that is current that may be important to the ongoing care and treatment.Release Records
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How to fill out dental record requestsschool of

01
Obtain the necessary dental record request form from the school of dentistry.
02
Fill out the form completely with accurate information about the patient.
03
Provide any additional documentation or identification required by the school of dentistry.
04
Submit the completed form and any supporting documents to the appropriate department or individual at the school of dentistry.
05
Follow up with the school of dentistry to ensure that the request has been processed and the records have been released.

Who needs dental record requestsschool of?

01
Patients who are transferring to a new dental provider
02
Dental professionals who are providing continuity of care for a patient
03
Legal entities or insurance companies requesting dental records for litigation or insurance claims purposes
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Dental record requests are formal applications made to obtain an individual's dental health records for various purposes, such as continuity of care or legal requirements.
Patients, legal guardians, or authorized representatives are required to file dental record requests.
To fill out a dental record request, one must provide personal information, specify the records needed, and submit the request to the appropriate dental provider or institution.
The purpose of dental record requests is to ensure patients have access to their dental health information, supporting informed health decisions and continuity of care.
The request must include the patient's name, date of birth, contact information, details of the records requested, and the purpose for the request.
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