Tampa Dental Spa - Dr. Beatriz Ribeiro-Totzke
Dear New Patient,
Please click the link below to DOWNLOAD the New Patient Forms:
Welcome Form Medical History HIPAA Informed Consent Financial Agreement Disclose to Family
- Carefully read all forms
- Fill out the forms completely and accurately
- Sign and Date all forms
- Send the forms back to our office PRIOR to your scheduled visit:
- Deliver them in person: we'd love to meet you!
- Scan and email them to: info@AllAgesDentalSpa.net Subject: <Your Name> FORMS
- Fax to the office 813-814-9933
- Mail the original forms to our office:
ALL AGES DENTAL SPA
11333 Countryway Blvd
Tampa, FL 33626
Thank you for your confidence in our office, we look forward to assisting you with all your dental needs. "The Green Team"