New Patients

Print Patient Forms

If you prefer to print your patient forms, you can download them below.

New Patient Form

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Insurance Form

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Patiend Record Form

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Contact us

We’re here to help make healthy smiles an enjoyable experience. If you have questions or would like to schedule your appointment, please contact us today!

  • 6231 S. Central Ave
    Phoenix, AZ 85042
  • 602-900-1100
  • Monday: 10am-7pm
    Tue-Thu: 7:30am-5pm
    Friday: By Appointment Only
    Sat-Sun: Closed