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Medical Release Form

Posted by Monte W. Davenport, Ph.D. on September 10, 2015

If you want Dr. Davenport to communicate and collaborate with physicians or educators, please complete the appropriate release form:

Child and Teen Medical Release Form

Adult Medical Release Form

You may email your signed form to info@drmontedavenport.com or call 817.421.8780 for our fax number.

 

If you have questions about forms, please call 817.421.8780 or complete our Information Request Form.

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Life Solutions of Dallas-Fort Worth

550 Silicon Drive Ste 100
Southlake, TX 76092
817-421-8780
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Resource articles are provided for educational purposes only and should not be considered a substitute for guidance from your medical, legal, educational, or mental health care professional.

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