Chandler's Top Dentist for

General, Family, Cosmetic, & Emergency Dentistry

We Fit Your Needs, Schedule, and Budget.

For New Patient Appointments

New Patient Hotline

000-000-0000

Current Patients Call

480-498-8825

Dental Patient Forms
and Instructions

We’ll need the information on the forms below prior to getting started. Please download that form, complete it and bring it to your first visit. If you are not able to complete it prior to your first visit, please arrive 10 minutes before your scheduled appointment.

The forms are PDFs and require you have Adobe Reader to open them. (Nearly all computers have this. If you cannot open the form, you can download it here: Adobe Reader.)

New Patient Medical History Form

(PDF)
Click To Download ›

HIPAA Compliance Form

(PDF)
Click To Download ›

Do you need a dentist?

Schedule Your Appointment

Click To Schedule ›
000-000-0000

General, Family, Cosmetic, & Emergency Dentistry

OFFICE LOCATION
1929 E. Ray Road, Suite 2
Chandler, AZ 85225
OFFICE HOURS
Mon-Wed: 7:00 a.m. to 6:00 p.m.
Thurs: 7:00 a.m. to 8:00. p.m.
Fri: 7:00 a.m. to 12:00 p.m.
Sat & Sun: Closed
We're Open Early and Late.
Same-Day Appointments Welcome
Schedule Your Appointment ›
th-listeditphone-square linkedin facebook pinterest youtube rss twitter instagram facebook-blank rss-blank linkedin-blank pinterest youtube twitter instagram