The forms listed below are the exclusive property of Greenwoods Dental & Surgical Centres™ and have been created by our team with the utmost care and expertise. These forms are provided solely for the purpose of accurately recording the necessary information and obtaining signatures. Any modification, alteration, or unauthorized change to the content, structure, or design of these documents is strictly prohibited.

Users are permitted only to fill in the required information and sign the forms as provided. Any other form of alteration—including but not limited to editing text, reformatting, or incorporating additional content—is not allowed and may be subject to legal action. By using our forms, you acknowledge and agree to abide by these terms, ensuring that the integrity and proprietary nature of our documents remain intact.

For any questions or requests regarding the appropriate use of these forms, please contact us.

To obtain the password in order to download files, please contact us.

Release Forms

Medical Records Release Form

This form authorizes the release of a patients medical records to our office, detailing the information to be shared and ensuring consent for disclosure.

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X-Ray Release & Request Form

This form authorizes the release of Patient X-ray images and related records to designated recipients and allows Patients to request additional X-ray examinations as needed.

To Greenwoods From Greenwoods
Credit Card Authorization

This form authorizes the secure processing of your credit card payment for specified transactions.

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