Flemington: (908) 806-7060
Princeton: (609) 285-5810

Authorization for Release of Medical/Dental Records

If you require records sent to another dentist or provider, we will need your authorization to do so. Please complete the form below and send it to us via email or fax. Once we receive your completed form, we will forward your records promptly.
If you are having difficulty with the above link, You can also print out the Authorization for Release of Records Form, fill it out and bring it with you to your appointment.