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I authorize Dr. Antalis permission to give copies of any dental/medical records via mail or e-mail to my other health care providers including medical doctors, chiropractor, physiotherapists, E.N.T. specialists, neurologists, etc. or lawyers acting on my behalf.

I release you from all legal responsibility or liability that may arise from this authorization. *

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About Us • Cambridge, OH • OHIOSmiles
At OHIOSmiles, you are a first priority. Have a look around and meet the team before you come see us. Our staff is friendly and professional. Learn more here!
OHIOSmiles, 1500 Deerpath Drive, Cambridge, OH 43725 + (740) 781-0540 + ohiosmiles.com + 6/13/2024 + Tags: dentist Cambridge OH +