I am requesting a transfer of my dental records. I authorize the office of Dr. Anshu S. Kumar, D.D.S. to release/obtain copies of all pertinent dental records for the following:
Anshu S. Kumar, D.D.S.
211 New Britain Rd., Suite 204
Kensington, CT 06037
Phone (860)225-1812 - Fax (860)225-1813
E-mail: Info@BrightSmileDentistry.Dental