Dentistry at Somerset, Jason Niegsch, DDS, FAGD
2720 Stange Road / Ames, IA 50010
Phone: (515) 268-0516 / Fax: (515) 268-9161
Preferred Method Email: smile@DentistryAtSomerset.com
These records include, but are not limited to: personal patient information, medical and dental histories, examination records, radiographs, clinical photographs, treatment plans, treatment records, referral and consultation recommendations and reports, diagnostic models and other related materials. I expressly release from liability the above named person or entity from any and all liability arising from compliance with this request and disclosure of the requested information.