Patient Forms
1125 S University Dr
Plantation, FL 33324



invisalign dentist

Dentist in Plantation

Dentists serving the city of Plantation, Fort Lauderdale, Davie, Sunrise, Weston, Cooper City, Miami and Boca Raton.

Dental Implant Video in Fort lauderdale

Teeth Whitening Video

Plantation Dentists

Patient Dental Forms

Your first visit establishes a vital foundation for our relationship with you. During the first visit, we make sure to give you plenty of time to get to know Dr. Max Arocha and Dr. Karla Jaquez . There's also background information about our committed Doctors and dental  procedures. You can save about 15 minutes at your first visit by printing out and completing the patient forms below.

Mission Statement
" We are interested in building strong life long relationship one patient at the time"

At our plantation dental office, we will do everything possible to ensure you a pleasant and relax visit. Our passionate dentists enjoy taking time to listen, understand you, and explain all procedures to your satisfaction. We make every effort to treat our patients just like our own family. Feel free to come into our office and look around, meet our staff and the Doctors. Decide for yourself if we can meet your needs. We look forward to meeting you.

New-Patient Forms

Please click, print out, complete and sign form 1,2 & 3 below so we can expedite your first dental visit upon arrival:

  1. New Patient Medical History Form
  2. New Patient Dental Treatment Informed Consent Form
  3. New Patient Hippa Form


 Sedation Consent Forms

Please click, review and sign on the form below:

Dental Implant Consent Form

Please click, review and sign on the forms below:

Home Care Instructions Forms

Please click on the forms below:  

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

What To Expect

Being well-prepared for your dental appointment will ensure that the doctor has all of the needed information to provide the best possible dental care for you. It also help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our Our Doctors page and familiarize yourself with the doctor(s). We look forward to your dental visit with us.

Driving Directions
We are conveniently located at the northwest corner of Peters Rd and South University Drive. We are behind Wells Fargo bank and next to the new Publix (where old Alberson used to be). Parking is available in front of our dental office.

Max Arocha D.M.D.

Dr. Arocha graduated from Temple University School of Dentistry with a Doctorate of Dental Medicine degree in Philadelphia, Pennsylvania.

Read more about Max Arocha D.M.D.

Questions or Comments?
We encourage you to contact us whenever you have an interest or concern about our services.