Dr Harold Welch DMD Dr Harold Welch DMD
Dr. Harold B. Welch DMD Seffner Family Dentist
(813) 684-2279
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Patient Forms

New Patients, please download the following form. Fill out and bring to your first appointment.

  • New Patient Registration Form

Please read the HIPPA Privacy information, then print and sign the HIPPA Privacy Release Form prior to your first appointment.

  • HIPPA Privacy information
  • HIPPA Privacy Release Form

Existing Patient yearly update:

  • Patient Information Update Form

Harold B. Welch, D.M.D.

807 W. Martin Luther King Blvd,
Seffner, FL 33584

(813) 684-2279

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    Location

    807 W. Martin Luther King Blvd,
    Seffner, FL 33584

    (813) 684-2279

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    Office Hours

    Monday – Thursday: 8:00am – 5:00pm
    Friday: 8:00am – 12:00pm

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