top of page
PATIENT HIPAA RELEASE FORM
Records can be emailed at no charge. There is a charge for a disc or paper copies. Please call the imaging center you visited to order a disc or paper copies. A release form is still required.
​
To sign, click mouse and hold down while signing.
Printable Release Forms
If printing a release form, please email to info@cdental.com for submission.
bottom of page