FORMS

New Patient Forms

form_img2-R1For your convenience, please print out these forms and have them filled out before you arrive to your scheduled appointment. If you choose not to do so, please arrive 15 minutes earlier to your scheduled appointment.

HIPAA Form

form_img2-R1Please read the Notice of Privacy Practices.


Max Zaslavsky DMD

Dentist in Fort Lauderdale
6451 N. Federal Highway, Ste. 129 Fort Lauderdale, FL 33308
Latitude: 26.2075996 Longitude: -80.10801679999997
Phone: (954) 491-3544