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Web dental radiograph release form this form is to authorize the release of dental radiographs for the following patients _____ _____ _____. Web please note that this form must be filled fully including your signature, date & time, and the drivers license number that matches your original number when originally given to. Web adults entitled to free dental care; It's primarily used when there is a need to.

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Children aged 17 or under; Web the dental records release form is a document given by a dental patient or the patient’s parent or guardian if they are underage. 807 harrow rd, wembley ha0 2lp. Web some hospitals or health centres also help people who need specialist care and may be able to offer treatment under sedation or general anaesthetic.

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