From: Innovation Drive Dental
Re: Request for Patient Records
that the electronic signature above will be an electronic representation of my signature for all purposes, just the same as pen-and-paper signature.
Please email x-rays to: Info@innovationdrivedental.com
Your co-operation is greatly appreciated. Thank you.
Innovation Drive Dental
20 Innovation Drive, Unit 2
Woodbridge, Ontario L4H 0T2
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