Patient Forms

New Patient Forms & Information

Welcome to Our Boca Raton Dental Practice!

Please take a few moments to download and complete our patient intake form.

Please bring this form with you on your first Boca Raton dental visit.

Things to Remember

Bring your most recent insurance card
Share and discuss all medications and medical conditions (cardiac, hyper tension, diabetes)
Do you need relaxation dentistry?

Dental Insurance

Great Boca Smiles works with a variety of dental insurance providers or you can ask our friendly office staff about our in-office dental assurance, the Smiles & Save Dental Insurance Program

Fill out patient forms


  • 9325 Glades Road #102
  • Boca Raton, FL 33434

advanced technology

When it comes to utilizing the most advanced technologies available in the field of dentistry, Dr. Markowitz and the staff at Great Boca Smiles take pride in being at the leading edge. Our goal is to provide the best treatments to you and ultimately give you the smile of your dreams. With all the options we have available, we can give you the optimum treatment plan. We offer CEREC One Day Crowns, Dental Implants, 3D Cat Scans, L-PRF, New Teeth Today-New Teeth Tomorrow, Non-Surgical Gum Therapy, and Sleep Apnea Treatments.


  • Dental Implants

  • 3D Cat Scan for
    Implant Dentistry

  • L-PRF