Save time before the first appointment by completing all the forms as accurately as possible.
Download the following forms and send them to our office with a copy of the insurance card:
Fax: 561-750-0535
E-mail:
This email address is being protected from spambots. You need JavaScript enabled to view it.
New Patient Registration [PDF]
ONLINE Forms can be completed in our secure patient registration site:
Sleep Apnea Forms online
Facial Pain and TMJ Diosorders Forms online
Oral Surgery and Implants Forms online
Orhtodontic Forms online
Periodontal Forms online
Home Services Programs Locations Contact us Español
Boca Raton: 561-750-6790 Pembroke Pines: 954-392-1851
Book an appointment online
Boca Orofacial Pain Center,PA. - Dr. Alvaro Betancur - SouthWest Broward DA,PA.