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Staff Kiosk · Internal Use Only

What would you like
to open today?

Tap a card below to launch the form on this device.

📝
Form B
Sedation Instructions
Step-through consent with 13 initialed sections, parent name & date, plus parent and witness signatures. Generates a signed PDF at checkout.
💰
Form A
Procedure Cost Estimate
Minutes-based fee calculator with live total, deposit & balance summary, 3-statement initialing, and parent signature. Generates estimate PDF.
📍 St. Augustine · (904) 471-8500
📍 Palm Coast · (386) 439-5437
Staff use only · Do not share