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Dr.

I hereby authorize you to transfer my/our dental records and associated records to the office of Dr. Sara Sameri, Brock Starr Dental Care.

Kindly forward the following information:

Patient Name
evening_and_weekend_appointments
biling
payment

What our patients think

Hanna

“This office treats everyone like family and provides all of their patients with the utmost care and patience.”

Alex

“Excellent customer service with a caring and friendly staff.”

Connor

“They were fabulous. Absolutely blown away by the service.”

 Improve your smile today