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Kay C. Betancourt, DMD, MS
70 Royal Palm Pointe, Ste. B
Vero Beach, FL 32960-4256
Phone: (772) 567-5981

Patient Forms

Medical/Dental History - Child
Medical/Dental History - Adult
Request for Record
Notice of Privacy Practices
Acknowledgement of Receipt
of Notice of Privacy Practices
Informed Consent
If You Play Sports