Sample letter of requesting dental xrays 2025

1. Click ‘Get Form’ to open the sample letter of requesting dental xrays in the editor.
2. Begin by entering the patient's or guardian's name in the designated field at the top of the form. This ensures that the authorization is correctly attributed.
3. Next, fill in the full name of the doctor and their practice address. Make sure to include all relevant details such as street address, city, and zip code for accurate processing.
4. Provide the practice telephone number and fax number in their respective fields. This information is crucial for communication regarding the release of records.
5. In the section requesting specific records, clearly indicate that you want copies of current x-rays and treatment notes. This helps streamline what is being requested.
6. Finally, sign and print your name at the bottom of the form. Ensure that this matches with what was entered at the beginning for consistency.
7. Once completed, use our platform’s fax feature to send it directly to 888.288.3216 for processing.

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