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Patient Forms

COVID-19 Safety Protocol - Complete Forms Online

Please complete our New Patient forms online prior to arriving to your appointment.

We want to offer you the convenience of filling out our patient forms before you arrive for your appointment. In doing so, this helps us reduce the amount of patients in our lobby. And if you have dental insurance, we will be able to do a courtesy benefits check prior to your visit with us.

Please call our office at 602-867-8488 if you have issues or questions about these forms.

New Patient Forms

Existing Patient Forms

Health History Update Forms (Existing Patients)

Please complete the Health History Update forms if your medical history has changed.

And...Help Us Go Green

Not only are we making every effort to maintain the safety of everyone who enters our practice, but we are also striving to go green with our paperless forms. So thank you for helping us by completing the patient forms online.

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