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Filename: drivers/Session_files_driver.php
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File: /var/www/cuacinsects.org/htdocs/application/controllers/Frontpage.php
Line: 9
Function: __construct
File: /var/www/cuacinsects.org/htdocs/index.php
Line: 318
Function: require_once
Severity: Warning
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Filename: Session/Session.php
Line Number: 143
Backtrace:
File: /var/www/cuacinsects.org/htdocs/application/controllers/Frontpage.php
Line: 9
Function: __construct
File: /var/www/cuacinsects.org/htdocs/index.php
Line: 318
Function: require_once
List Of Dental Records Release Form Template. How to write a dental medical records release form? If you want additional records transferred to dental provider, please check “clinical records” or “specific records” toward the top of this form).
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Check here to send this basic information; I authorize the release of my confidential protected dental information, as described in my directions above. You may also request your records and other documents by phone or order an electronic copy of your detailed medical records online.
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