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Dental Care

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Patient Forms

New & Established Patients
Sliding Scale Application
Privacy Practices and Bill of Rights
Medical Records Release Form - Incoming to MAHEC
Medical Records Release Form - Outgoing from MAHEC

Note that a fee will be charged if you are requesting the records for yourself. There is no charge for sending records to another facility.

Who May We Speak With? (HIPAA Release)

Provider Forms

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