Patient Forms

Wednesday, Feb. 22, 2012

Web Site

M. René Schamp, D.D.S.
1435 W. Fairbanks Avenue
Winter Park, Florida 32789

Telephone: (407) 644-5627
Fax: (407) 644-6800

Now accepting new patients and emergencies
Office Hours: Monday - Thursday 8am - 5pm

Downloadable Patient Forms

Title	Size
Patient Information	258.57 KB	Download
Office Financial Policy	59.14 KB	Download
HIPAA & Your Privacy Rights	29.00 KB	Download
Acknowledgement of Receipt of Notice of Privacy Practices	18.08 KB	Download