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Requesting or Sending Dental Records

If you’d like to request a copy of your dental records please print and complete the Authorization Form. Once completed the form can be faxed to 214-874-4552, emailed to: or mailed to 3302 Gaston Ave Dallas Tx 75246.

To forward records or x rays to us, email them to

For questions regarding records please call 214-828-8217

Notice of Privacy Practices (English)

Notice of Privacy Practices (Spanish)