Phone: (954) 651-1254

Patient Forms

All The Forms

We have made all of our patient forms available to you in one location as Adobe Acrobat files.

FOR OFFICE USE ONLY--Oral Surgery Checklist
Pre-operative Instructions for Dental Surgery Acknowledgment of Privacy Practices Medical History Update Form Disclosure & Consent FormPatient Treatment RecordAnesthesia RecordPost-Op Instructions

Miscellaneous Forms

Anesthesia Consent Bisphosphonates Consent Coronectomy Consent COVID-19 Questionnaire Implant Form Medical Consultation Request Supplemental Disclosure & Consent Form

Contact Dr. Sharaf

(954) 651-1254