Patient Forms


Medical Release Form:

 

Technical Note:

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The security and privacy of your personal data is one of our primary concerns.

We have taken every precaution to protect your privacy.

 

If you wish us to release your medical records to you or another doctor, please fill out the following form and mail or fax it to:


Chad N. Allen, D.D.S.
Oral and Maxillofacial Surgery

1124 Pajaro Street
Salinas, CA 93901
Fax: (831) 757-5833

 

 

 

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We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.