Patients

Please print and complete the appropriate form and bring it to the office, or fax it to us at 305.535.8190.


Upon completion of these forms, please be sure to include your name, the name of the referring dentist, your home and work telephone numbers and if applicable, the name and type of dental insurance you have.

Financing is available with approved credit.

Brochures for all our different treatments are available upon request, courtesy of the AAE.