Patient Forms

In order to provide the highest quality care on a sound basis, we have developed convenient payment options for you to choose from. Prior to the commencement of treatment, fees and financial arrangements will be discussed with you. These arrangements can be coordinated with your dental insurance benefits. We also accept MasterCard, Visa, American Express, and Discover Card.


Download/Print Patient Health History

We proudly accept the following:
Click on logo above to apply now.




For complete information on insurance benefits and payments, please call: (480) 614-1122.

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