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Community Dental Care fax number

(507) 322-0041

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Rochester Clinic

Used for: Release of dental records / authorization to release dental records to a third party

Fax destination details

Department
Rochester Clinic
Purpose
Release of dental records / authorization to release dental records to a third party
Form
Release of Dental Records Consent Form — Release of Dental Records Consent Form
Address
2120 US Highway 14 E, Rochester, MN 55904
Voice phone
(507) 258-7934

Before you send

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  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Print and complete the Release of Dental Records Consent form and send it to your clinic location by fax or email found on the form.

Official form instructions are published as a downloadable file on the organization's website.

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