Patient Forms

Home Patient Forms

Getting ready for your visit to Advanced Dental Center of Florence? Below you’ll find various forms you can download and fill out at home then bring completed to your appointment. For questions, give us a call.

Patient Information and Policies

Medical History

Dental Insurance

Insurance Disclaimer and X-Ray Consent

To: Advanced Dental Center


Dear Advanced Dental Center,

Hello, my name is

I am interested in scheduling an appointment with you and would like to receive information about

Please call me at

at your earliest convenience.

Contact Us

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Advanced Dental Center

(843) 629-8000

(843) 629-8348