Records Release
Use this form to request release of your previous dental x-rays and chart notes from your previous dentist.
Authorization for Release of Dental Records
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Testimonials
""Dr. Jerry Paczkowski is a wonderful, pain-free dentist, willing to rearrange his schedule to get you in when a tooth may be bothering you. He always makes whatever procedure he is doing as comfortable as possible for you. I would recommend Dr. Jerry to anyone, you won't find another dentist or staff more concerned for patients as them.""
""I have been using this dentist since I was a freshman in high school. I have always been given excellent care, and when I got married my husband and four children have all recieved great oral health care. Now my grandchildren, another generation, are recieving all their dental needs by the Paczkowski family. Thank you for your outstanding service! ''"
""During my visit to your office, it was apparent to me that you were somewhat perplexed with my situation. I noticed that you put a great deal of thought into my situation and came up with a solution that you believed would be in my best interest, and I thank you for that. In all honesty, I was surprised that you conversed with me about my situation as long as you did. In my opinion, your actions were the sign of being a caring and concerned doctor. The professionalism that my wife, children and I have experienced from you, your son, and your support staff over the past few years has been very impressive. This is why my family will always come back to you and your staff for dental matters. Thank you!!""
" "Paczkowski Family Dental treats you as an individual not an appointment. They respect your anxieties and do an excellent job of giving you a calm and trusing atmosphere. I would recommend them to anyone who has fears or hesitations due to anxiety to go to their practice." "