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March 15, 2010
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Washington Dental Service Release of Information Authorization Form
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The Release of Information Authorization form below is required for the release of dental claims history or benefits information to a personal representative of the patient.
Open the Authorization form
here
.
Questions?
Call Washington Dental Customer Service at (800)554-1907, Monday through Friday, between 8 am and 5 pm PT.
Individual Plans
WDS is excited to announce that we now offer two plans for individuals and families. Just
click here
to learn more and enroll!
Not a WDS member? Prefer to stick with paper? You can have a chance at $10,000! Just print and mail this
entry form
. No purchase necessary. Restrictions apply. See
official rules
for odds and other terms and conditions.