Phone: (954) 651-1254

Patient Forms

We have made all of our patient forms available to you in one location as Adobe Acrobat files.  For your safety and convenience, we recommend printing and completing these forms in the comfort of your home.

Please remember to bring your completed forms with you for your first appointment.  If you have any problem getting these files to print properly, please call our office, and we will gladly send or fax them to you.

Pre-operative Instructions for Dental Surgery Acknowledgment of Privacy Practices Medical History Update Form Disclosure & Consent Form Post-Operative Instructions Form

In addition, the following miscellaneous forms may also be required.  Please check with your dentist or with Dr. Sharaf to confirm:

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

Contact Dr. Sharaf

(954) 651-1254