Release of Information Form

If the doctors at Centrasota Oral Surgeons require additional information regarding your health history, you will be asked to complete a Release of Information Form.  This form gives our staff permission to gather the necessary information relevant to your visit.  Please click below to download and complete the Release of Information form. 

• Release of Information – St. Cloud
• Release of Information – Alexandria
• Release of Information – Hutchinson
• Release of Information – Monticello
• Release of Information – Sartell