Requesting Dental Records & X-Rays

To request a copy of your dental records or x-rays, please fill out this record release form.

You may also request a paper copy of the record release form at any Eastman Dental clinic.

The completed and signed form can be returned by fax to (585) 273-1372, by email to EDC_RecordRoom@urmc.rochester.edu, or in-person at an Eastman Dental clinic.

Please call (585) 275-5071 with any questions relating to dental records.