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  • (520) 795 1316
  • Mon–Thu 8am–5pm
    Fri 7am–12pm
  • 4015 E Paradise Falls Drive Suite 129
  • Services
  • Patient Registration
  • Payment Options
  • Our Team
  • FAQ
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Patient Registration

If you’d like to review any of our patient forms, you can find them here. You can also print them prior to your first appointment, and fill them out in advance.

  • New Patient Health History

    This is the standard patient information and medical history form we ask new patients to fill out. It includes both your dental and medical history.

    Download

  • Patient Agreement and Notice of Office Policy

    This is the standard financial policy form we ask new patients to fill out.

    Download

  • Privacy Policy

    This is the standard HIPAA consent form we ask new patients to fill out.

    Download

4015 E Paradise Falls Drive,
Suite 129
Tucson, Arizona 85712
(520) 795 1316
  • Services
  • Patient Registration
  • Payment Options
  • Our Team
  • FAQ
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Site design & development by Brian Meyer