Safecare Medical Center

Your Neighborhood Primary Care Physicians

General Forms New Patient Forms Medical Records Release Form Disabled Parking Permit Application Advance Directive Forms and Information Health Care Advance Directive Information Living Will & Glossary Designation of Health Care Surrogate Do Not Resuscitate Order Uniform Donor Form Health Care Advanced Directive Notification Card Chiapone David Ting, M.D., F.A.C.P. · Sailesh Dave, M.D. · Enrique Ciklik, M.D. · Richard J. Wilbur, M.D. 1117 E. Hallandale Beach Blvd. · Hallandale Beach, FL 33009 · 954-454-6300 · Fax: 954-454-6325 4050 Suite D Sheridan Street · Hollywood, Florida 33021 · 954-989-7441 · Fax: 954-989-7454