Patient Forms

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Dental Patient Forms

Going to the dentist can be an overwhelming experience, especially on your first dental visit. Let us put your concerns and anxieties to rest. Our goal at Pompano Family Dental is to make every patient experience as comfortable as possible.

To make your visit as pleasant and brief as possible, there are a few things you should bring with you. Please bring your dental x-rays from the last six months to your first appointment.

With just a few simple forms, we’ll ask for relevant medical history, any medications you might be taking, your dental history, and any dental insurance coverage you may have.

Want to get a head start? Download the new patient forms below.

These documents are in Adobe PDF format. If you’re unable to read PDF files, please  download free Adobe Acrobat Reader here.

Our Happy Customers

"It's hard to find a professional dentist like Dr. Gisele, she is definitely one-of-a-kind her and her staff are so kind and caring! The clinic at Pompano Family Dental is very clean and organized."

Ande

"Pompano Family Dental is great! The staff is really friendly and efficient, the facility is impeccably clean, organized and modern. The dentist, Dr. Gisele Oliveira, is simply fantastic. She will take care of you in a very professional and sweet way. She will explain things clearly, answer your questions patiently and calm you down if you are afraid of needles. The prices are great and so is the financial planning.
I have tried several dental offices in South Florida and so far this is the best.
It is definitely worth the 45-minute drive from my house.
I absolutely recommend this place!"

Ciça

"Great people, wonderful service, super accommodating, will def be returning and referring my friends and family."

Dafne
We're here to help you get the perfect smile!
Have Questions? Call Us Now (954) 526-1927  OR   Schedule Your Visit!
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