Patient Forms

Patient Forms

If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office.  Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival.  Thank you and please call our office if you have any questions at all.

Medical History Form.pdf

New Patient Information.pdf

New Patient Survey.pdf

Office Policy.pdf

Acknowledgment of Receipt of Notice of Privacy Practices.pdf 

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We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.

Hollywood, FL Dentist, Dr. Hans Sperling is a dental professional dedicated to General, Family & Cosmetic Dentistry such as Dental Exams, Cleanings, X-rays, Fluoride, Dental Makeovers, Teeth Whitening, Veneers, Crowns, & more. Please come and visit Dental Care Center of Hollywood in Broward County, Florida.


Dental Care Center of Hollywood. Please contact us at (954) 989-5500.