SafeCare

Resources

Registration Forms

To help make your visit easier, please download and complete the following registration forms before your appointment.

Forms and Documents

 
Patient Registration Form Download
Disclosure and Consent Form Download
Authorization for Release of Information Download

Need Help?

If you need help understanding these forms or would like assistance completing them, please contact our office.

Hallandale Beach:

(954) 454-6300

Hollywood:

954-989-7441