{"id":707,"date":"2020-09-23T00:34:45","date_gmt":"2020-09-23T00:34:45","guid":{"rendered":"https:\/\/southbeachdental.net\/21\/?page_id=707"},"modified":"2025-11-10T20:50:04","modified_gmt":"2025-11-10T20:50:04","slug":"patient-forms","status":"publish","type":"page","link":"https:\/\/southbeachdental.net\/21\/patient-forms\/","title":{"rendered":"Patient Forms"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"707\" class=\"elementor elementor-707\" data-elementor-settings=\"[]\">\n\t\t\t\t\t\t<div class=\"elementor-inner\">\n\t\t\t\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-4900a8c0 animated-slow elementor-section-boxed elementor-section-height-default elementor-section-height-default elementor-invisible\" data-id=\"4900a8c0\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeIn&quot;,&quot;background_motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;background_motion_fx_scale_effect&quot;:&quot;yes&quot;,&quot;background_motion_fx_scale_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:2,&quot;sizes&quot;:[]},&quot;background_motion_fx_scale_range&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:67,&quot;end&quot;:100}},&quot;background_motion_fx_scale_direction&quot;:&quot;out-in&quot;,&quot;background_motion_fx_devices&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;],&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7a69b59e\" data-id=\"7a69b59e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1e2cab50 elementor-widget__width-inherit elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"1e2cab50\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInLeft&quot;,&quot;_animation_mobile&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Online Patient Forms<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-5acac958 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5acac958\" data-element_type=\"section\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-1ea8db50\" data-id=\"1ea8db50\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-78ba5ffc elementor-widget__width-auto elementor-widget-divider--view-line elementor-invisible elementor-widget elementor-widget-divider\" data-id=\"78ba5ffc\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:0}\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a4d2a2d elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"a4d2a2d\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">FORM #1<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-60ec884f elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"60ec884f\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:100}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p><strong>New Patient Form<\/strong><\/p><p>New Patients, please complete the New Patient Form (online) for convenience.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f0871f5 elementor-widget elementor-widget-elementskit-icon-box\" data-id=\"f0871f5\" data-element_type=\"widget\" data-widget_type=\"elementskit-icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"ekit-wid-con\" >        <!-- link opening -->\n                <!-- end link opening -->\n\n        <div class=\"elementskit-infobox text-center text- icon-top-align elementor-animation-    ekit-hover-btn-horizontal-align-\">\n                    <div class=\"elementskit-box-header elementor-animation-\">\n                <div class=\"elementskit-info-box-icon  \">\n                    <i aria-hidden=\"true\" class=\"elementkit-infobox-icon icon icon-customer-support-2\"><\/i>\n                <\/div>\n          <\/div>\n                        <div class=\"box-body\">\n                            <h3 class=\"elementskit-info-box-title\">\n                    Complete New Patient Form Online                <\/h3>\n                                                    <div class=\"box-footer disable_hover_button\">\n                    <div class=\"btn-wraper\">\n                                                            <a href=\"https:\/\/southbeachdental.net\/21\/new-patient-form\/\" target=\"_self\" rel=\"\" class=\"elementskit-btn elementor-animation-\">\n                                                                                New Patient Form                                    <\/a>\n                                                        <\/div>\n                <\/div>\n                    <\/div>\n        \n        \n                    <div class=\"ekit-icon-box-badge ekit_position_top_left\">\n                <span class=\"ekit-badge\">FORM 1<\/span>\n            <\/div>\n                <\/div>\n        <\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-f15e381\" data-id=\"f15e381\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ddeb209 elementor-widget__width-auto elementor-widget-divider--view-line elementor-invisible elementor-widget elementor-widget-divider\" data-id=\"ddeb209\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:0}\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9e2e2b6 elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"9e2e2b6\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">FORM #2<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-573c497 elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"573c497\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:100}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p><strong>Annual Patient Update Form<\/strong><\/p><p>RETURNING Patients, please complete the Annual Patient Update Form (online) for convenience.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-31fb5d3 elementor-widget elementor-widget-elementskit-icon-box\" data-id=\"31fb5d3\" data-element_type=\"widget\" data-widget_type=\"elementskit-icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"ekit-wid-con\" >        <!-- link opening -->\n                <!-- end link opening -->\n\n        <div class=\"elementskit-infobox text-center text- icon-top-align elementor-animation-    ekit-hover-btn-horizontal-align-\">\n                    <div class=\"elementskit-box-header elementor-animation-\">\n                <div class=\"elementskit-info-box-icon  \">\n                    <i aria-hidden=\"true\" class=\"elementkit-infobox-icon icon icon-customer-support-2\"><\/i>\n                <\/div>\n          <\/div>\n                        <div class=\"box-body\">\n                            <h3 class=\"elementskit-info-box-title\">\n                    Complete ANNUAL Patient Update Form Online                <\/h3>\n                                                    <div class=\"box-footer disable_hover_button\">\n                    <div class=\"btn-wraper\">\n                                                            <a href=\"https:\/\/southbeachdental.net\/21\/annual-patient-update-form\/\" target=\"_self\" rel=\"\" class=\"elementskit-btn elementor-animation-\">\n                                                                                Patient Update Form                                    <\/a>\n                                                        <\/div>\n                <\/div>\n                    <\/div>\n        \n        \n                    <div class=\"ekit-icon-box-badge ekit_position_top_left\">\n                <span class=\"ekit-badge\">FORM 2<\/span>\n            <\/div>\n                <\/div>\n        <\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-a129074\" data-id=\"a129074\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3be608e elementor-widget__width-auto elementor-widget-divider--view-line elementor-invisible elementor-widget elementor-widget-divider\" data-id=\"3be608e\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:0}\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0a51a32 elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"0a51a32\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">FORM #3<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e471ee6 elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"e471ee6\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:100}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p><strong>Pediatric Form<\/strong><\/p><p>Parents\/Guardians, please complete the Pediatric Form here for your child\/children.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9cee3f1 elementor-widget elementor-widget-elementskit-icon-box\" data-id=\"9cee3f1\" data-element_type=\"widget\" data-widget_type=\"elementskit-icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"ekit-wid-con\" >        <!-- link opening -->\n                <!-- end link opening -->\n\n        <div class=\"elementskit-infobox text-center text- icon-top-align elementor-animation-    ekit-hover-btn-horizontal-align-\">\n                    <div class=\"elementskit-box-header elementor-animation-\">\n                <div class=\"elementskit-info-box-icon  \">\n                    <i aria-hidden=\"true\" class=\"elementkit-infobox-icon icon icon-Child\"><\/i>\n                <\/div>\n          <\/div>\n                        <div class=\"box-body\">\n                            <h3 class=\"elementskit-info-box-title\">\n                    Complete Pediatric Form Online                <\/h3>\n                                                    <div class=\"box-footer disable_hover_button\">\n                    <div class=\"btn-wraper\">\n                                                            <a href=\"https:\/\/southbeachdental.net\/21\/pediatric-form\/\" target=\"_self\" rel=\"\" class=\"elementskit-btn elementor-animation-\">\n                                                                                Pediatric Form                                    <\/a>\n                                                        <\/div>\n                <\/div>\n                    <\/div>\n        \n        \n                    <div class=\"ekit-icon-box-badge ekit_position_top_left\">\n                <span class=\"ekit-badge\">FORM 3<\/span>\n            <\/div>\n                <\/div>\n        <\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-ad9cec2\" data-id=\"ad9cec2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7f03338 elementor-widget__width-auto elementor-widget-divider--view-line elementor-invisible elementor-widget elementor-widget-divider\" data-id=\"7f03338\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:0}\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1d659b9 elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"1d659b9\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">FORM #4<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b10b65a elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"b10b65a\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:100}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p><span style=\"font-size: inherit; text-align: inherit; letter-spacing: 0.32px;\"><b>Patient Financing<\/b><\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5605ddf elementor-widget elementor-widget-elementskit-icon-box\" data-id=\"5605ddf\" data-element_type=\"widget\" data-widget_type=\"elementskit-icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"ekit-wid-con\" >        <!-- link opening -->\n                <!-- end link opening -->\n\n        <div class=\"elementskit-infobox text-center text- icon-top-align elementor-animation-    ekit-hover-btn-horizontal-align-\">\n                    <div class=\"elementskit-box-header elementor-animation-\">\n                <div class=\"elementskit-info-box-icon  \">\n                    <i aria-hidden=\"true\" class=\"elementkit-infobox-icon icon icon-finance-book\"><\/i>\n                <\/div>\n          <\/div>\n                        <div class=\"box-body\">\n                            <h3 class=\"elementskit-info-box-title\">\n                    Patient Financing                <\/h3>\n                                                    <div class=\"box-footer disable_hover_button\">\n                    <div class=\"btn-wraper\">\n                                                            <a href=\"https:\/\/southbeachdental.net\/21\/form-4-patient-financing\/\" target=\"_self\" rel=\"\" class=\"elementskit-btn elementor-animation-\">\n                                        Patient Financing                                    <\/a>\n                                                        <\/div>\n                <\/div>\n                    <\/div>\n        \n        \n                    <div class=\"ekit-icon-box-badge ekit_position_top_left\">\n                <span class=\"ekit-badge\">FORM 4<\/span>\n            <\/div>\n                <\/div>\n        <\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-1fdc14b elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-phone elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1fdc14b\" data-element_type=\"section\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-f86372f\" data-id=\"f86372f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6f7244e elementor-widget__width-auto elementor-widget-divider--view-line elementor-invisible elementor-widget elementor-widget-divider\" data-id=\"6f7244e\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:0}\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1eec35e elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"1eec35e\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">FORM #4<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5b41565 elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-phone elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"5b41565\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:100}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p><strong>eSign Insurance (Page 4) Form<\/strong><\/p><p>Please eSign the Insurance Acknowledgement Form online\u00a0for your convenience<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3d2824f elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-phone elementor-widget elementor-widget-elementskit-icon-box\" data-id=\"3d2824f\" data-element_type=\"widget\" data-widget_type=\"elementskit-icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"ekit-wid-con\" >        <!-- link opening -->\n                <!-- end link opening -->\n\n        <div class=\"elementskit-infobox text-center text- icon-top-align elementor-animation-    ekit-hover-btn-horizontal-align-\">\n                    <div class=\"elementskit-box-header elementor-animation-\">\n                <div class=\"elementskit-info-box-icon  \">\n                    <i aria-hidden=\"true\" class=\"elementkit-infobox-icon fas fa-certificate\"><\/i>\n                <\/div>\n          <\/div>\n                        <div class=\"box-body\">\n                            <h3 class=\"elementskit-info-box-title\">\n                    Insurance Acknowledgement Form                <\/h3>\n                                                    <div class=\"box-footer disable_hover_button\">\n                    <div class=\"btn-wraper\">\n                                                            <a href=\"https:\/\/southbeachdental.net\/21\/insurance-company-acknowledgement-form\/\" target=\"_self\" rel=\"\" class=\"elementskit-btn elementor-animation-\">\n                                                                                Sign Insurance Form                                    <\/a>\n                                                        <\/div>\n                <\/div>\n                    <\/div>\n        \n        \n                    <div class=\"ekit-icon-box-badge ekit_position_top_left\">\n                <span class=\"ekit-badge\">STEP 4<\/span>\n            <\/div>\n                <\/div>\n        <\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-24cd82f\" data-id=\"24cd82f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1249485 elementor-widget__width-auto elementor-widget-divider--view-line elementor-invisible elementor-widget elementor-widget-divider\" data-id=\"1249485\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:0}\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fd9d079 elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"fd9d079\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">FORM #5<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e9aa935 elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-phone elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"e9aa935\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:100}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p><strong>eSign Privacy Practices Receipt<\/strong><\/p><p>Please e-sign the\u00a0Notice of Privacy Practices (HIPPA) form\u00a0online\u00a0for convenience.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e960bf3 elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-phone elementor-widget elementor-widget-elementskit-icon-box\" data-id=\"e960bf3\" data-element_type=\"widget\" data-widget_type=\"elementskit-icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"ekit-wid-con\" >        <!-- link opening -->\n                <!-- end link opening -->\n\n        <div class=\"elementskit-infobox text-center text- icon-top-align elementor-animation-    ekit-hover-btn-horizontal-align-\">\n                    <div class=\"elementskit-box-header elementor-animation-\">\n                <div class=\"elementskit-info-box-icon  \">\n                    <i aria-hidden=\"true\" class=\"elementkit-infobox-icon icon icon-padlock-1\"><\/i>\n                <\/div>\n          <\/div>\n                        <div class=\"box-body\">\n                            <h3 class=\"elementskit-info-box-title\">\n                    Notice of Privacy Practices                <\/h3>\n                                                    <div class=\"box-footer disable_hover_button\">\n                    <div class=\"btn-wraper\">\n                                                            <a href=\"https:\/\/southbeachdental.net\/21\/acknowledgement-of-receipt-of-notice-of-privacy-practices\/\" target=\"_self\" rel=\"\" class=\"elementskit-btn elementor-animation-\">\n                                                                                eSign HIPPA Docs                                    <\/a>\n                                                        <\/div>\n                <\/div>\n                    <\/div>\n        \n        \n                    <div class=\"ekit-icon-box-badge ekit_position_top_left\">\n                <span class=\"ekit-badge\">STEP 2<\/span>\n            <\/div>\n                <\/div>\n        <\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-f7376d0\" data-id=\"f7376d0\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-229bf49 elementor-widget__width-auto elementor-widget-divider--view-line elementor-invisible elementor-widget elementor-widget-divider\" data-id=\"229bf49\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:0}\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f0ff704 elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"f0ff704\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">FORM #6<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a208f92 elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-phone elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"a208f92\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:100}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p><strong>eSign the Email Consent Form<\/strong><\/p><p>Next, please e-sign the\u00a0Email Consent Form\u00a0online\u00a0for your convenience.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9d003a6 elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-phone elementor-widget elementor-widget-elementskit-icon-box\" data-id=\"9d003a6\" data-element_type=\"widget\" data-widget_type=\"elementskit-icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"ekit-wid-con\" >        <!-- link opening -->\n                <!-- end link opening -->\n\n        <div class=\"elementskit-infobox text-center text- icon-top-align elementor-animation-    ekit-hover-btn-horizontal-align-\">\n                    <div class=\"elementskit-box-header elementor-animation-\">\n                <div class=\"elementskit-info-box-icon  \">\n                    <i aria-hidden=\"true\" class=\"elementkit-infobox-icon far fa-thumbs-up\"><\/i>\n                <\/div>\n          <\/div>\n                        <div class=\"box-body\">\n                            <h3 class=\"elementskit-info-box-title\">\n                    eSign the Email Consent Form                <\/h3>\n                                                    <div class=\"box-footer disable_hover_button\">\n                    <div class=\"btn-wraper\">\n                                                            <a href=\"https:\/\/southbeachdental.net\/21\/email-consent-form\/\" target=\"_self\" rel=\"\" class=\"elementskit-btn elementor-animation-\">\n                                                                                Email Consent Form                                    <\/a>\n                                                        <\/div>\n                <\/div>\n                    <\/div>\n        \n        \n                    <div class=\"ekit-icon-box-badge ekit_position_top_left\">\n                <span class=\"ekit-badge\">STEP 3<\/span>\n            <\/div>\n                <\/div>\n        <\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-a1cca3b elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-phone elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a1cca3b\" data-element_type=\"section\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-57576aa\" data-id=\"57576aa\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3f43e19 elementor-widget__width-auto elementor-widget-divider--view-line elementor-invisible elementor-widget elementor-widget-divider\" data-id=\"3f43e19\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:0}\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5bc9bc6 elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"5bc9bc6\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">FORM #1<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c86e215 elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"c86e215\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:100}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p><strong>New Patient Form<\/strong><\/p><p>New Patients, please complete the New Patient Form (online) for convenience.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c8c02ab elementor-widget elementor-widget-elementskit-icon-box\" data-id=\"c8c02ab\" data-element_type=\"widget\" data-widget_type=\"elementskit-icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"ekit-wid-con\" >        <!-- link opening -->\n                <!-- end link opening -->\n\n        <div class=\"elementskit-infobox text-center text- icon-top-align elementor-animation-    ekit-hover-btn-horizontal-align-\">\n                    <div class=\"elementskit-box-header elementor-animation-\">\n                <div class=\"elementskit-info-box-icon  \">\n                    <i aria-hidden=\"true\" class=\"elementkit-infobox-icon icon icon-customer-support-2\"><\/i>\n                <\/div>\n          <\/div>\n                        <div class=\"box-body\">\n                            <h3 class=\"elementskit-info-box-title\">\n                    Complete New Patient Form Online                <\/h3>\n                                                    <div class=\"box-footer disable_hover_button\">\n                    <div class=\"btn-wraper\">\n                                                            <a href=\"https:\/\/southbeachdental.net\/21\/new-patient-form\/\" target=\"_self\" rel=\"\" class=\"elementskit-btn elementor-animation-\">\n                                                                                New Patient Form                                    <\/a>\n                                                        <\/div>\n                <\/div>\n                    <\/div>\n        \n        \n                    <div class=\"ekit-icon-box-badge ekit_position_top_left\">\n                <span class=\"ekit-badge\">STEP 1<\/span>\n            <\/div>\n                <\/div>\n        <\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-632bdcc\" data-id=\"632bdcc\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a023161 elementor-widget__width-auto elementor-widget-divider--view-line elementor-invisible elementor-widget elementor-widget-divider\" data-id=\"a023161\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:0}\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e7de344 elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"e7de344\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">FORM #2<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b9b28bf elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"b9b28bf\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:100}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p><strong>eSign Privacy Practices Receipt<\/strong><\/p><p>Please e-sign the\u00a0Notice of Privacy Practices (HIPPA) form\u00a0online\u00a0for convenience.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bdaabfc elementor-widget elementor-widget-elementskit-icon-box\" data-id=\"bdaabfc\" data-element_type=\"widget\" data-widget_type=\"elementskit-icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"ekit-wid-con\" >        <!-- link opening -->\n                <!-- end link opening -->\n\n        <div class=\"elementskit-infobox text-center text- icon-top-align elementor-animation-    ekit-hover-btn-horizontal-align-\">\n                    <div class=\"elementskit-box-header elementor-animation-\">\n                <div class=\"elementskit-info-box-icon  \">\n                    <i aria-hidden=\"true\" class=\"elementkit-infobox-icon icon icon-padlock-1\"><\/i>\n                <\/div>\n          <\/div>\n                        <div class=\"box-body\">\n                            <h3 class=\"elementskit-info-box-title\">\n                    Notice of Privacy Practices                <\/h3>\n                                                    <div class=\"box-footer disable_hover_button\">\n                    <div class=\"btn-wraper\">\n                                                            <a href=\"https:\/\/southbeachdental.net\/21\/acknowledgement-of-receipt-of-notice-of-privacy-practices\/\" target=\"_self\" rel=\"\" class=\"elementskit-btn elementor-animation-\">\n                                                                                eSign HIPPA Docs                                    <\/a>\n                                                        <\/div>\n                <\/div>\n                    <\/div>\n        \n        \n                    <div class=\"ekit-icon-box-badge ekit_position_top_left\">\n                <span class=\"ekit-badge\">STEP 2<\/span>\n            <\/div>\n                <\/div>\n        <\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-7fabc2f\" data-id=\"7fabc2f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c995341 elementor-widget__width-auto elementor-widget-divider--view-line elementor-invisible elementor-widget elementor-widget-divider\" data-id=\"c995341\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:0}\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d5a164c elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"d5a164c\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">FORM #3<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5c812c8 elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"5c812c8\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:100}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p><strong>eSign the Email Consent Form<\/strong><\/p><p>Next, please e-sign the\u00a0Email Consent Form\u00a0online\u00a0for your convenience.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b5d8627 elementor-widget elementor-widget-elementskit-icon-box\" data-id=\"b5d8627\" data-element_type=\"widget\" data-widget_type=\"elementskit-icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"ekit-wid-con\" >        <!-- link opening -->\n                <!-- end link opening -->\n\n        <div class=\"elementskit-infobox text-center text- icon-top-align elementor-animation-    ekit-hover-btn-horizontal-align-\">\n                    <div class=\"elementskit-box-header elementor-animation-\">\n                <div class=\"elementskit-info-box-icon  \">\n                    <i aria-hidden=\"true\" class=\"elementkit-infobox-icon far fa-thumbs-up\"><\/i>\n                <\/div>\n          <\/div>\n                        <div class=\"box-body\">\n                            <h3 class=\"elementskit-info-box-title\">\n                    eSign the Email Consent Form                <\/h3>\n                                                    <div class=\"box-footer disable_hover_button\">\n                    <div class=\"btn-wraper\">\n                                                            <a href=\"https:\/\/southbeachdental.net\/21\/email-consent-form\/\" target=\"_self\" rel=\"\" class=\"elementskit-btn elementor-animation-\">\n                                                                                Email Consent Form                                    <\/a>\n                                                        <\/div>\n                <\/div>\n                    <\/div>\n        \n        \n                    <div class=\"ekit-icon-box-badge ekit_position_top_left\">\n                <span class=\"ekit-badge\">STEP 3<\/span>\n            <\/div>\n                <\/div>\n        <\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-cd670bc elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-phone elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"cd670bc\" data-element_type=\"section\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-efd808d\" data-id=\"efd808d\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3be0f03 elementor-widget__width-auto elementor-widget-divider--view-line elementor-invisible elementor-widget elementor-widget-divider\" data-id=\"3be0f03\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:0}\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-15afe58 elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"15afe58\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">FORM #4<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cfb20fc elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"cfb20fc\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:100}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p><strong>eSign Insurance (Page 4) Form<\/strong><\/p><p>Please eSign the Insurance Acknowledgement Form online\u00a0for your convenience<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-332b63d elementor-widget elementor-widget-elementskit-icon-box\" data-id=\"332b63d\" data-element_type=\"widget\" data-widget_type=\"elementskit-icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"ekit-wid-con\" >        <!-- link opening -->\n                <!-- end link opening -->\n\n        <div class=\"elementskit-infobox text-center text- icon-top-align elementor-animation-    ekit-hover-btn-horizontal-align-\">\n                    <div class=\"elementskit-box-header elementor-animation-\">\n                <div class=\"elementskit-info-box-icon  \">\n                    <i aria-hidden=\"true\" class=\"elementkit-infobox-icon fas fa-certificate\"><\/i>\n                <\/div>\n          <\/div>\n                        <div class=\"box-body\">\n                            <h3 class=\"elementskit-info-box-title\">\n                    Insurance Acknowledgement Form                <\/h3>\n                                                    <div class=\"box-footer disable_hover_button\">\n                    <div class=\"btn-wraper\">\n                                                            <a href=\"https:\/\/southbeachdental.net\/21\/insurance-company-acknowledgement-form\/\" target=\"_self\" rel=\"\" class=\"elementskit-btn elementor-animation-\">\n                                                                                Sign Insurance Form                                    <\/a>\n                                                        <\/div>\n                <\/div>\n                    <\/div>\n        \n        \n                    <div class=\"ekit-icon-box-badge ekit_position_top_left\">\n                <span class=\"ekit-badge\">STEP 4<\/span>\n            <\/div>\n                <\/div>\n        <\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-2c5a43a\" data-id=\"2c5a43a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2f59d7b elementor-widget__width-auto elementor-widget-divider--view-line elementor-invisible elementor-widget elementor-widget-divider\" data-id=\"2f59d7b\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:0}\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a4b25c8 elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"a4b25c8\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">FORM #5<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c265149 elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"c265149\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:100}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p><strong>Annual Patient Update Form<\/strong><\/p><p>RETURNING Patients, please complete the Annual Patient Update Form (online) for convenience.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fce57b3 elementor-widget elementor-widget-elementskit-icon-box\" data-id=\"fce57b3\" data-element_type=\"widget\" data-widget_type=\"elementskit-icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"ekit-wid-con\" >        <!-- link opening -->\n                <!-- end link opening -->\n\n        <div class=\"elementskit-infobox text-center text- icon-top-align elementor-animation-    ekit-hover-btn-horizontal-align-\">\n                    <div class=\"elementskit-box-header elementor-animation-\">\n                <div class=\"elementskit-info-box-icon  \">\n                    <i aria-hidden=\"true\" class=\"elementkit-infobox-icon icon icon-customer-support-2\"><\/i>\n                <\/div>\n          <\/div>\n                        <div class=\"box-body\">\n                            <h3 class=\"elementskit-info-box-title\">\n                    Complete ANNUAL Patient Update Form Online                <\/h3>\n                                                    <div class=\"box-footer disable_hover_button\">\n                    <div class=\"btn-wraper\">\n                                                            <a href=\"https:\/\/southbeachdental.net\/21\/form-5-annual-patient-update-form\/\" target=\"_self\" rel=\"\" class=\"elementskit-btn elementor-animation-\">\n                                                                                Annual Patient Update Form                                    <\/a>\n                                                        <\/div>\n                <\/div>\n                    <\/div>\n        \n        \n                    <div class=\"ekit-icon-box-badge ekit_position_top_left\">\n                <span class=\"ekit-badge\">FORM 5<\/span>\n            <\/div>\n                <\/div>\n        <\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-e96333a\" data-id=\"e96333a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c2d53fa elementor-widget__width-auto elementor-widget-divider--view-line elementor-invisible elementor-widget elementor-widget-divider\" data-id=\"c2d53fa\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:0}\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-22e9ba1 elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"22e9ba1\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">FORM #6<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d556f66 elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"d556f66\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:100}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p><strong>Pediatric Form<\/strong><\/p><p>Parents\/Guardians, please complete the Pediatric Form here for your child\/children.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-10d3adc elementor-widget elementor-widget-elementskit-icon-box\" data-id=\"10d3adc\" data-element_type=\"widget\" data-widget_type=\"elementskit-icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"ekit-wid-con\" >        <!-- link opening -->\n                <!-- end link opening -->\n\n        <div class=\"elementskit-infobox text-center text- icon-top-align elementor-animation-    ekit-hover-btn-horizontal-align-\">\n                    <div class=\"elementskit-box-header elementor-animation-\">\n                <div class=\"elementskit-info-box-icon  \">\n                    <i aria-hidden=\"true\" class=\"elementkit-infobox-icon icon icon-Child\"><\/i>\n                <\/div>\n          <\/div>\n                        <div class=\"box-body\">\n                            <h3 class=\"elementskit-info-box-title\">\n                    Complete Pediatric Form Online                <\/h3>\n                                                    <div class=\"box-footer disable_hover_button\">\n                    <div class=\"btn-wraper\">\n                                                            <a href=\"https:\/\/southbeachdental.net\/21\/pediatric-form\/\" target=\"_self\" rel=\"\" class=\"elementskit-btn elementor-animation-\">\n                                                                                Pediatric Form                                    <\/a>\n                                                        <\/div>\n                <\/div>\n                    <\/div>\n        \n        \n                    <div class=\"ekit-icon-box-badge ekit_position_top_left\">\n                <span class=\"ekit-badge\">FORM 6<\/span>\n            <\/div>\n                <\/div>\n        <\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Online Patient Forms FORM #1 New Patient Form New Patients, please complete the New Patient Form (online) for convenience. Complete New Patient Form Online New Patient Form FORM 1 FORM #2 Annual Patient Update Form RETURNING Patients, please complete the Annual Patient Update Form (online) for convenience. Complete ANNUAL Patient Update Form Online Patient Update [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":[],"_links":{"self":[{"href":"https:\/\/southbeachdental.net\/21\/wp-json\/wp\/v2\/pages\/707"}],"collection":[{"href":"https:\/\/southbeachdental.net\/21\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/southbeachdental.net\/21\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/southbeachdental.net\/21\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/southbeachdental.net\/21\/wp-json\/wp\/v2\/comments?post=707"}],"version-history":[{"count":37,"href":"https:\/\/southbeachdental.net\/21\/wp-json\/wp\/v2\/pages\/707\/revisions"}],"predecessor-version":[{"id":2193,"href":"https:\/\/southbeachdental.net\/21\/wp-json\/wp\/v2\/pages\/707\/revisions\/2193"}],"wp:attachment":[{"href":"https:\/\/southbeachdental.net\/21\/wp-json\/wp\/v2\/media?parent=707"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}