Dental X Ray Release Form - Dental radiograph release form this form is to authorize the release of dental radiographs for the following patients _____ _____ _____. Client rights and hipaa authorizations (page 2 of 2) the following specifies your rights about this authorization under the health. It’s a good idea to have patients sign a consent form giving you permission to release their records to another healthcare provider and to. By selecting digital copy you take full responsibility that the private dental records are going to be sent over the internet.
Client rights and hipaa authorizations (page 2 of 2) the following specifies your rights about this authorization under the health. It’s a good idea to have patients sign a consent form giving you permission to release their records to another healthcare provider and to. By selecting digital copy you take full responsibility that the private dental records are going to be sent over the internet. Dental radiograph release form this form is to authorize the release of dental radiographs for the following patients _____ _____ _____.