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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

24551 Silver Cloud Court, Suite 102
Monterey, CA 93940
Fax: (831) 884-5178

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

 

 

 

Contact Us

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.

Office Location

  • Salinas
  • 1124 Pajaro Street
  • Salinas, CA
  • 93901
  • Map & Directions
  • Call: 831-757-3021