Phone: (941) 907-8300 or Fax:(941) 907- 8206

    From: Lakewood Ranch Dental

    Page: 1

    Please send x-rays as attachments in Dexis, jpeg, png or pdf format and include exact date films were taken. Thanks 🙂

    To whom it may concern,

    I, , hereby grant permission for 's office to release any information related to my dental history and treatment, along with copies of my x-rays to:

    Email: Smile@lakewoodranchdental.com
    If possible we prefer x-rays by email over regular mail.


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