To have your child’s dental records and x-rays sent to you or a dentist/dental office for purposes of continuing dental care, please complete the below form.
This form can only be submitted by your child’s custodial parent or legal guardian. To protect your child’s privacy, dental records can only be sent to you as the custodial parent or legal guardian, or a dentist/dental office for purposes of continuing dental care.
Click the button below to fill out and sign the request form.
For all other requests, please call 855.469.7473.