Patient Forms

We’re excited to welcome you to our office, and look forward to caring for you! If you are a new adult patient, please complete the following forms and return them to our office. If you are  the a parent of a new patient who is a minor, please complete the following forms  for your child, and bring them with you to your first visit. 

You may also save it to your computer, complete it, and email it to office@northstapleydentalcare.com.

You will need Adobe Reader on your computer to access the file and read the PDF file. If you don’t have it, you can download it from Adobe for free.

If you have any questions about the information below, please feel free to contact our office for assistance at (480) 447-1903.

Appointment Cancellations

As a courtesy, if you are unable to keep an appointment with our office, please contact our scheduling team 48 hours prior to your appointment time to reschedule and avoid a fee.

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