Patient Forms

New Patient Forms including Medical History - English

Medical History
medhxenglish.pdf
Adobe Acrobat document [496.3 KB]
Notice of Privacy n insurance policy.pdf
Adobe Acrobat document [192.9 KB]

Fomas incluyendo Historial Médico para Nuevos Pacientes - Español

Historial Médico
medhxspanish.pdf
Adobe Acrobat document [500.5 KB]
Poliza de Privacidad y de Seguro Dental
New Patient -2.pdf
Adobe Acrobat document [188.1 KB]

Make an Appointment Today!                       

Call us at:

(602) 889-7835

 

Smith Family Dental

3230 E Baseline Rd

Phoenix, AZ 85042

Email: mail@smithfamilydental.org

Office Hours

Mon    9 - 6

Tues   7 - 3

Wed  10 - 6

Thur   9 - 6

Fri     Appt. Only

Sat   Closed

Sun  Closed

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

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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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