New Patient Information

New Patient Forms

For your convenience, we have made some of the paperwork available to you. In the comfort of your home, you are able to print, complete and sign these two forms. Please bring the completed forms to the office on your first appointment. This will make your initial visit quicker and easier with less wait time.

Please click on the Download button below.

Financial Arrangements

Not Just Comfortable And Caring Personalized Attention... But Affordable As Well!

Most Insurance Accepted.
Most Major Credit Cards Accepted.
We Are Also Pleased To Offer Interest Free Financing*
*upon approval

We Believe Everyone Should Have The Opportunity To Enjoy A Healthy Mouth, Regardless Of
Their Budget.

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Office Location


Coral Ridge Smile is conveniently located less than two miles from the beach in the Cross Medical and Professional Building at 2324 NE 53rd. St. We are one block north of Commercial Boulevard just off Federal Highway next to the Courtyard by Marriott.


Please enter your address below for directions to our Fort Lauderdale office

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Our Regular Hours

  • Monday and Wednesday
    11 a.m. to 7 p.m.
  • Tuesday and Thursday
    8 a.m. to 4 p.m.
  • Friday and Saturday
    by appointment.
  • English and French spoken
    fluently in our office.

24 Hour, Emergency
Services Available

Our Procedures

  • Non-surgical deep cleanings
  • White Fillings
  • Implants
  • Root Canals


  • (Guaranteed at least 8 shades whiter in one appointment!)