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Forms

Save time at your appointment by completing these forms before arriving at the clinic. You can fill them out from your computer or phone, or print them and bring them completed to any of our locations in Pembroke Pines, Hialeah/Miami Lakes, or Fontainebleau.

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Our Forms

Select the form you need to complete. If you have questions about which ones to fill out before your appointment, call us and we’ll guide you.

New Patient
Registration

Your contact information, dental insurance details, and general information we need before your first visit.

Complete

Medical
History

Health conditions, medications, and allergies our team needs to know before any treatment.

Complete

DentalHistory

Previous dental treatments, current concerns, and what you’re hoping to achieve with your smile.

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Complete

Consent & Financial Policy

Treatment authorization, cancellation policy, and privacy notice (HIPAA) that we sign with you before starting any procedure.

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