Patient Forms

Patient Forms

Download and Print Forms

You can download the patient forms below to assist us with your care. Print the forms, fill them out, and bring them to your appointment.

NOTE: We are updating our forms for 2024 and will provide links to download the new PDFs once complete.

Patient Forms

Health History – English

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Historia Clínica – Español

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Patient Rights & Responsibilities – English

Download PDF

Derechos y Responsabilidades del Paciente – Español

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Notice of Privacy Rights – English

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About Florida Children’s Dentistry

We understand that going to the dentist can be overwhelming and scary. That’s why we strive to make the experience pleasant, easy, and fun for your child. We aim to create lifelong, healthy dental habits through education and positive experiences in the dentist’s chair.

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About Florida Children's Dentistry

Convenient South Florida Locations

Getting to the dentist has never been easier. We’ve got many convenient locations in South Florida, and many more coming soon! Take a tour of our offices, so you’ll know what to expect when you get here!

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