Patient Records
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REQUEST A DENTAL APPOINTMENT
Dental Records
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Dental Records: Authorization for Release of Information (PDF) | AUTORIZACIÓN PARA DIVULGAR INFORMACIÓN En español (PDF)
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Dental Records Request: Call 859-323-6675
Dental Forms and Information
- Patient Rights/Responsibilities (PDF)
- Oral Surgery Extraction Consent Form (PDF)
- Request & Consent for Pediatric Dental Treatment (PDF)
- Authorization to Release Information (English) (PDF)