Patient Form Downloads

If you’re a new patient, we ask that you fill out these forms prior to your appointment:

Medical History Form

Patient Registration Form

Financial Policy

HIPAA Notice on Privacy & Practices

For other forms and information, please download any of the following that apply:

Instructions Following Scaling and Root Planing

Instructions Following Your Extractions



Perio Post Op Instructions

Post-Sedation Instructions

Patient Referral

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Please fill out the form below to request an appointment or call us at 480-782-1131.

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