Dental Clinic Forms

Keys AHEC provides full children’s dental services through the Mobile Dental Unit and the Marathon based Children’s Dental Center.  Please click our links for our patient forms. Keys AHEC does request a $10 encounter fee.

Appointments can be made at 305-743-7111 extension  220

Children's Dentist
Children’s Dentist

Parents Registration & Consent Forms

View Dental Enrollment Form – EnglishDownload PDF
View Dental Enrollment Form – SpanishDownload PDF
View Dental Enrollment Form – CreoleDownload PDF