.pdf

transfer_consent.pdf
Preview of 
🔗 Source: wetherillfam.wpengine.com
📊 Size: 75 KB
📄 Pages: 1 page
⬇️ Downloads: 61

Summary

Richard Wetherill III, DDS, provides a consent form for patients to release their dental records, including progress notes and radiographs, to his office at 1209 Floral Parkway, Suite A, Wilmington, NC 28403.

Description

Richard Wetherill III, DDS, provides a consent form for patients to release their dental records, including progress notes and radiographs, to his office at...

Technical Information

  • File Format: PDF
  • File Size: 75 KB
  • Pages: 1
  • Language: EN
  • Total Downloads: 61
  • Last Updated: 3 months ago

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