Free patient-directed records request

Request your old dental records in minutes.

Prepare a request for your previous dental office. You remain in control: print, download, or copy the letter, then send it using your dentist's preferred secure method. DentalScouts does not send or retrieve records through this tool.

Your request

For adults requesting their own existing records. Your name, birth date, and draft stay in this browser and are not sent to DentalScouts.

Your full name Date of birth (optional)

Some offices use this to locate your chart. We don't store it.

1. Previous dental office

Which dentist has your records?

You can type an office not in our directory. Directory searches contact DentalScouts, but your identifying information does not.

Office city/state (optional)

2. What records do you need?

X-rays (bitewings and periapicals) Panoramic images CBCT/DICOM scans, if available Chart and treatment notes

New dentist (optional, for your reference)

I am 18 or older and preparing a request for my own dental records.

Your information stays with you. The letter is assembled locally in your browser. No patient name, birth date, draft, signature, or X-ray is uploaded by this page. Avoid entering another person's health information. For a minor or an authorized representative, ask the practice about its process.

Request preview

Browser-only

Once prepared, review the letter, print and sign it, then submit it directly to your old dental office. The practice may have its own verification process or form.

Complete the request form to prepare your letter. Your personal details will appear here and nowhere else.

This is a self-service letter generator, not a submitted records request or a guarantee that your previous dentist will release records immediately. DentalScouts' managed retrieval service is not available yet. Join the managed-transfer pilot.