Just for parents

 

Patient Forms

For your convenience, we offer secure, HIPAA-compliant, electronic patient forms which can be filled out on any computer, tablet or phone. 

New Patient Packet

If you and your child(ren) are new to our practice and have an upcoming appointment, please fill out our New Patient Packet. This packet includes: the Patient Information form, Medical/Dental History form, HIPAA Notice of Privacy Practices, our Financial & Appointment Policies and a Covid-19 Pre-screening Questionnaire.

Existing Patient Forms

Apply for CareCredit

We are pleased to offer CareCredit financing to help make treatment more affordable. This flexible payment option allows you to pay for your child's treatment over a period of time so you can focus on what matters most – keeping their smile healthy. 

4151 Hunter's Park Lane, Ste. 124, Orlando, FL 32837  •  407.859.1418  •  info@drmarfori.com
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