You may complete our patient history form by downloading Patient History Form and completing it in the comfort of your own home. We will ask you to fill it out completely, sign it and bring to your appointment. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

If you have dental insurance, please bring your card with you so we may make a copy for our records. If you have any questions, contact the office by phone at: 480-218-7590 Thank you, we look forward to meeting you.

Please read and sign our HIPAA form. This form is required by federal law. This form is a notice of privacy practices taken in our office to protect your personal and private information. The Acknowledgement of Receipt Form is a Ackowledgement of Receipt notice of privacy practices form that you will need to download. Please take the time to read our measures taken to protect your privacy. Please download these forms but do not sign the Acknowledgement of Receipt until you come into our office.

Our online forms use the Adobe Acrobat 5 Plugin to allow patients the convenience of completing their health history and registration forms from home or work. Download Now if it is not already installed on your system. It is important that you have at least version 5 of the plugin, in order to successfully use our forms.