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Patient Forms & Financing

Patient Forms

  • Patient Registration Form – English: download
  • Patient Registration Form – Spanish: download
  • Medical History Form – English: download
  • Medical History Form – Spanish: download
  • HIPPA Notice of Privacy Practices – English: download
  • HIPPA Notice of Privacy Practices – Spanish: download
  • Financial Policy – English: download
  • Financial Policy – Spanish: download
  • Office Policies – English: download
  • Office Policies – Spanish: download

Please print and complete the Patient Registration, Medical History and HIPAA forms and bring them to your first appointment to speed up the check in process. Thank you!

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Finance

At the Miami Dental Sedation Spa our first concern is our patient. Dr. Sanchez and Dr. Vidal are interested on having a personal relationship with the patient and on helping him or her reach their goals. After years of practice, Dr. Sanchez and Dr. Vidal have realized this cannot be accomplished with restrains on procedures, fees, and time spent with the patient. Therefore, the Miami Dental Sedation Spa maximizes the dental insurance coverage of each of our patients without the restrains on our patient’s health.

We accept several payment methods including financing with 12 month no interest finance charge.

There is a price to pay for education.
There is a price to pay for ignorance.

There is a price to pay for attending to good health.
There is a price to pay for neglecting health.

There is a price to pay for attending to relationships.
There is a price to pay for neglecting relationships.

There is a price to pay for love
There is a price to pay for fear and hate.

We cannot choose whether we pay-
only for What!

See What Our Clients Say

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Make an Appointment Today

or Call us at 305-445-4646

Make an Appointment Today

or Call us at 305-445-4646