Micah Vermeer D.D.S.. Maegan Scott. D.D.S.. Becca Schmitt D.D.S. (Dentist the records will be sent to) Email to: info@pellafamilydentistry.com
copies of my dental records with respect to any dental care and treatment.
I understand that the specific type of information to be disclosed includes a detailed report of examinations, findings, treatments, prognosis, and copies of any and all other records, including x-rays, which pertain to me.
