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Registration Forms

New Patient Packet
Medical Records Release
School Forms Request
Welcome Pack
What Sets CMC Apart
Review of Systems
Medication Consent Form
CMC EMR Info
CMC HIPPA Info
Child History Form
PMCH

HOLLYWOOD OFFICE

4651 Sheridan Street, Suite 270
Hollywood, FL 33021
(954) 989-6000
(954) 967-8962
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Office Hours

Monday – Friday: 8:00am – 5:00pm
Saturday: 8:00am – 1:00pm

PEMBROKE PINES OFFICE

12251 Taft Street, Suite 201,
Pembroke Pines, FL 33026
(954) 435-7000
(954) 435-7185
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Office Hours

Monday – Friday: 8:00am – 5:00pm
Saturday: 8:00am – 1:00pm
Sundays: 9:00am – 12:00pm

CHAPEL TRAIL OFFICE

20170 Pines Blvd. Suite 203
Pembroke Pines, FL 33029
(954) 378-1500
(954) 378-1530
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Office Hours

Monday – Friday: 8:00am – 5:00pm

We are a member of the TopLine MD Alliance, a collective group of practices, providers and specialty centers that help patients navigate a complicated healthcare system. Membership in the Alliance is highly selective and based on exceptional patient satisfaction. Our priority is to provide you with top-of-the-line care, through a network of dedicated people you can trust, while making your experience simple and convenient.

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