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Patient Forms

You may access the following forms to assist us with your care. Please complete the following forms, and click the "Submit" button at the bottom of each form.

*We are committed to keeping your personal information secure. All of our online forms are submitted via a secure connection and are HIPAA compliant.

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John M. Richards, D.D.S., M.S.

  • Fort Myers Office - 6300 Whiskey Creek Dr., Fort Myers, FL 33919 Phone: 239-936-1808
  • Cape Coral Office - 14 Del Prado Blvd. N., Suite 202, Cape Coral, FL 33909 Phone: 239-936-1808

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