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Interpreter Services Poster
Patient Concerns Form
Records Request Form for Adults
- Use this form to request a copy of your records if you are an adult. To submit the form, send it to: University of Louisville School of Dentistry Records Request 501 S. Preston St. Louisville, KY 40202 Or, email it to DentalCA@louisville.edu
Records Request Form for Minors
- Use this form to request records for minors, if you are an authorized health care representative.
PediatricsFlyerEnglish2021.pdf
PediatricsFlyerSpanish2021.pdf