Patient Forms

New patient? Please download and fill out the following forms when you come in for your first appointment.

Patient Medical History Form

This form is mandatory for new patients. To expedite your visit, print this form, fill it out and bring it with you for your first visit.

Patient Medical History Form
Medhxen15.pdf
Adobe Acrobat document [863.0 KB]

New Patient docs

Please read over and sign our Notice of Privacy Practices, acknowledging our privacy policy, as well as Insurance and other policies of the practice.

New Patient docs
npen15.pdf
Adobe Acrobat document [393.7 KB]

Make an Appointment Today!                       

Call us at:

(602) 889-7835

 

Smith Family Dental

3230 E Baseline Rd

Phoenix, AZ 85042

Email: mail.smithfamilydental@gmail.com

Office Hours

Mon    9 - 6

Tues   7 - 4

Wed  10 - 6

Thur   9 - 6

Fri      Appt. Only

Sat     Appt. Only 

Sun Closed

 

Outside our regular business hours, please note our emergency care information.

Keep Your Teeth Healthy!

What is the best preventive care for your teeth? Find out how to make your next visit easier and more pleasant.

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