Request x rays from dentist

    • [DOC File]Drs - Midland Dental

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      Your request will be completed by: _____ /_____ /_____. **Please do not schedule an appointment with your new dentist prior to this date.** If you check off that you wish to have your most current x-rays, periodontal charting & dental treatment record e-mailed or mailed there is no charge to you. The office will provide one e-mail/mail to a ...

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    • 64B5-17

      ( For copies of x-rays, models, and photographs, a dentist may charge a reasonable, cost based fee, provided that the fee includes only the cost of copying, including the cost of supplies for and labor of copying. (No copying fee if the originals are released); Add to this figure: ( Actual cost of postage (stamps) only if the records are mailed.

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    • [DOC File]Associated Dentists

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      AN AND ALL RELEVANT X-RAYS ARE ENCLOSED: WITH THIS RE: QUEST FOR ASSESSMENT FORM. ... Recent relevant X-ray emailed to sdc-dental.t-sd@nhs.net (from NHS email account)[ ] ... [ ] Patient has been informed of request for assessment and the reason for referral [ ] Referral is made in line with Delivering Better Oral Health, GDC Standards and is ...

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    • [DOCX File]Special Care Dental Service – Request for assessment

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      The fee for copies of x-rays shall not exceed actual cost of duplication. Payment of copying fees may be required upon delivery of the copies. (3) A dentist shall comply with a patient’s written request for copies of records and reports in a timely manner, with due regard for the patient’s health needs.

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    • [DOC File]Medical Records - Maryland

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      Four (4) BWX (bite wing x-rays) of diagnostic value, less than 2 years old. Your previous dentist may request you complete a form to have x-rays released from them (Further detail is provided on next page). We will take these records at your first appointment if they are not present for the exam visit, or if they are not of diagnostic value.

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    • Request X Rays From Dentist – Find Local Dentist Near Your ...

      Most dentists find current x-rays (bitewings within the past year, full mouth series or Panoramic film within the past three years) to be useful. If your dentist requests more information than x-rays and a summary of dental treatment, please let us know. We will need approximately one week to duplicate and process your request. Patient’s Name

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    • [DOC File]AUTHORIZATION FOR THE RELEASE OF DENTAL RECORDS …

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      Hereby request that my/our previous dentist release and forward the dental records on the following patient(s): (Name) (Date of Birth) Please include patient’s name and date x-rays were taken.

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