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Print form and fill out completely
Fax completed form to 352.273.7484
- OR -
Mail completed form to:
UFCD Dental Records/Screening
P.O. Box 100425
Gainesville, FL 32610-0425
Screening staff will contact you soon with an appointment.
We will attempt to contact you for 2 months after which you will need to re-apply.
If you are unable to print or fax the form, call 352.273.5251 or (toll free) 1.800.633.3953 opt. 4._____________________________________________________
To See the webpages that describe the services available at the University of Florida School of Dentistry Dental Clinics:
FOR COMPLETE INSTRUCTIONS AND LOCATIONS
of clinics_enter this URL address ---
http://www.soundentistry.com/univ-florida-dental-clinic/