UNIVERSITY OF IOWA COLLEGE OF DENTISTRY CENTRAL RECORDS FAX COVER SHEET DATE: _________________________ TO: Central Records_________________ FROM: __________________________________ S118 DSB_______________________ ___________________________________ University of Iowa________________ ___________________________________ Iowa City, IA 52242 ___________________________________ FAX PHONE NUMBER FAX PHONE NUMBER 319) 335-7417 ______________________ VOICE PHONE NUMBER VOICE PHONE NUMBER 319) 335-7429 _______________________ NUMBER OF PAGES ________ (including Cover Page) COMMENTS The information contained in this fax is confidential and/or privileged. This fax is intended to be reviewed initially by only the individual named above. If the reader of this transmittal page is not the intended recipient or a representative of the intended recipient, you are hereby notified that any review, dissemination, or copying of the fax or the information contained herein is prohibited. If you have received this fax in error, please notify the sender by telephone and return this fax to the sender at the University of Iowa College of Dentistry, S118 Dental Science Bldg., Iowa City, IA 52242. Thank you.