Please print and complete these forms at home before your first appointment. If you need assistance with downloading or printing these forms, please contact our office at 813-321-3261.
HIPPA Acknowledgement & Financial Agreement
| Mon: | 8:00am - 6:00pm |
| Tue: | 8:00am - 5:00pm |
| Wed: | 8:00am - 6:00pm |
| Thu: | 7:00am - 5:00pm |
| Fri: | 8:00am - 4:00pm |
| Sat: | 8:00am - 2:00pm |
| Every other Saturday |
5486 Lithia Pinecrest Rd Lithia, FL 33547
813-321-3261
fishhawkdentistlithia.com
fishhawkdentistlithia.com
