New Patient Forms

General & Cosmetic Dentistry Avondale, AZ

Thank you for scheduling your next dental visit with us. Please prepare the following two electronic files before your visit.

  1. Notice of Privacy Practices in PDF format
  2. Medical History Form in MS Word 2007 format
  3. Medical History Form in  PDF

The Medical History in MS Word format allows you to save your work on your computer and return back to it as needed (Note: this form requires Office 2007 or newer). Once completed you can email it back directly to us.

You can also use the PDF format. This form is usually printed, filled out and brought in the day of your appointment or faxed prior to your appointment date. Our fax number is: 888-625-9293.

If you do not have Acrobat Reader on your computer the pdf will not download, please take a moment to download and install the FREE and easy install reader here:

The forms allow you time to fill them out at your convenience and it saves you time when you come in. We look forward to seeing you soon.