New Patient Forms

If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival.  Thank you and please call our office if you have any questions at all.

Patient Forms- Forms must be completed by legal guardian  (Print & Complete All Forms Prior To First Office Visit) 

Medical History

Office Financial Policy Form

  
PLEASE NOTE:

If someone other than the legal guardian of the child will be bringing them to the office for an appointment (for example: grandparent, aunt, uncle, or family friend) the following form below MUST be completed & signed by the legal guardian in order to see your child. 

This gives us permission to share your child's private health information with the accompanying adult as well as discuss treatment options.  The legal guardian must also complete the above forms and send with the patient on the first visit.  We appreciate your compliance with this matter and please contact our office if you have any further questions.

Relative or Non-Guardian Release Form ( For Non-Parents Only)





Our family recently relocated to the Tampa area and were in search of a pediatric dentist for our child's routine dental visits. After much research, we decided to try Dr. Sandra Makram; and we are so glad we did. This practice is perfect for us. Dr. Makram's office staff is friendly and helpful. Her assistants are warm and made our daughter feel very relaxed. Dr. Makram is sweet, professional and provides excellent care. We could not have picked a better office; it is clean and our child felt comfortable and happy. Dental visits are not always easy for kids of any age, but this practice does it right. You will not be disappointed.
I took our 20 month old in for her first dental appointment...nothing wrong, but I wanted her to get used to the experience (and we aren't the best at regular tooth brushing yet!). Dr. Sandy was amazingly patient, kind and sweet with our wiggly little girl. My little one and I both sat in the exam chair and the exam was really fast--which was a blessing for everyone. Clean bill of dental health! The office is so clean, bright and kid-friendly. They encouraged my little girl to explore and climb on every seat--which was very nice. I'm thrilled to have such a great dentist office in our neighborhood. We'll be back!
I am a dental hygienist who has recently moved from CO. Trust me when I say it always makes me nervous finding a dentist that I haven't worked for, as "not all dentists were created equal" - if you know what I mean. Dr. Makram is FANTASTIC! She had to fill a cavity (a first for my daughter), and she put her right at ease! So VERY good with children! I saw her at the West Chase office, which is relatively new (March) and just beautiful! I would recommend her to anyone, and will be returning with my other daughter as well. She will be our dentist! Also, her staff is excellent as well! GREAT VISIT!!!!!!!!!!!!
I took my 14 month old son to Dr. Makram for his first dental visit and it was AMAZING!!!. The front desk as well as the entire staff is very friendly and welcoming. We were called back and seen by the Dr. quickly. Dr. Makram gave my son the attention he needed and made the experience very pleasent for him. I highly recomend them and am glad to have found a great dental practice for my son.
Great experience for my two kids. Relaxed atmosphere and the doctor took time to explain everything to me. Staff were very friendly. Dr. Makram's Westchase office is so close to school and home- so convenient!
I found Dr. Makrams brand new office in the Westchase area in Tampa and took my two kids there for their check up appointments. I was thrilled that they had such an easy and comfortable visit. The doctor has an awesome chair side manner and the kids loved watching Dora on all the tvs during the cleaning. If anyone is looking for a pediatric dentist in Tampa, you should check out Dr. Makram's office
Thank you for being so patient with my daughter!
Great first visit, Thank you!
We're very happy with your service.
You're "practically perfect in every way," the Mary Poppins of dentists! Best pediatric dentist ever!!!
Ready for your first appointment?