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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 ›

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
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