Call: (520) 426-0404

Patient Forms

Notice Of Privacy Practices This notice describes how health information about you may be disclosed and how you can get access to this information. Please review it Carefuly (click here)

First time visit: We are pleased to welcome you to our dental office in Casa Grande AZ. Please take a few minutes to fill out this form as completely as you can, before your first visit so that we may quickly and easily process your information. If you have questions we'll be glad to help you. We look forward to working with you in maintaining your dental health. To download and print this form please click here.

Dental Benefits/Insurance Plans