Custom Smiles by Dr Boehly

Forms

 Please open the following forms, print and fill out.

 You can fax the forms to (561) 381-4743, email the forms to reception@drboehly.com, or bring the forms with you to your first visit.

 If you have any questions please call (561) 381-4744.

Registration Form

Medical History

HIPPA Notice of Privacy Practices

Financial Responsibility Form

 

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About Us

Dr. Kathryn E. Boehly has been practicing cosmetic and general dentristry since 1992.  more

Testimonials

I normally don’t do testimonials, but I would be remiss if I ...
M. Kimmel - Boca Raton, FL

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