Download -  · 2020-05-27 · photographs and clinical records regarding my child's dental health to another facility/physician, such as my pediatrician or orthodontist. No I understand that

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Page 1:  · 2020-05-27 · photographs and clinical records regarding my child's dental health to another facility/physician, such as my pediatrician or orthodontist. No I understand that
Page 2:  · 2020-05-27 · photographs and clinical records regarding my child's dental health to another facility/physician, such as my pediatrician or orthodontist. No I understand that
Page 3:  · 2020-05-27 · photographs and clinical records regarding my child's dental health to another facility/physician, such as my pediatrician or orthodontist. No I understand that
Page 4:  · 2020-05-27 · photographs and clinical records regarding my child's dental health to another facility/physician, such as my pediatrician or orthodontist. No I understand that
Page 5:  · 2020-05-27 · photographs and clinical records regarding my child's dental health to another facility/physician, such as my pediatrician or orthodontist. No I understand that
Page 6:  · 2020-05-27 · photographs and clinical records regarding my child's dental health to another facility/physician, such as my pediatrician or orthodontist. No I understand that
Page 7:  · 2020-05-27 · photographs and clinical records regarding my child's dental health to another facility/physician, such as my pediatrician or orthodontist. No I understand that
Page 8:  · 2020-05-27 · photographs and clinical records regarding my child's dental health to another facility/physician, such as my pediatrician or orthodontist. No I understand that
Page 9:  · 2020-05-27 · photographs and clinical records regarding my child's dental health to another facility/physician, such as my pediatrician or orthodontist. No I understand that

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