Dental Patient Forms
and Instructions

We’ll need the information on the forms below prior to getting started. Please download that form, complete it and bring it to your first visit. If you are not able to complete it prior to your first visit, please arrive 10 minutes before your scheduled appointment.

The forms are PDFs and require you have Adobe Reader to open them. (Nearly all computers have this. If you cannot open the form, you can download it here: Adobe Reader.)

Martin Dental Intake Forms – Fillable

(PDF)
Click To Download ›

Martin Dental Intake Forms – Printable

(PDF)
Click To Download ›

YOUR HEALTHIER SMILE STARTS WITH A PHONE CALL

Schedule Your Appointment

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All Your Dental Needs.
All in One Office

Queen Creek, AZ Dental Office
21152 E Rittenhouse Rd #106
Queen Creek, AZ 85142
480-867-4578
Chandler, AZ Dental Office
1775 E Queen Creek Rd. #129-130
Chandler, AZ 85286 
480-498-4191
Mesa, AZ Dental Office
1815 South Crismon Road Suite 104
Mesa, Arizona 85209
480-672-2453
OFFICE HOURS
Monday: 8:00 a.m. to 5:00 p.m.
Tuesday: 8:00 a.m. to 5:00 p.m.
Wednesday: 12:00 p.m. to 8:00 p.m.
Thursday: 8:00 a.m. to 5:00 p.m.
Friday: 8:00 a.m. to 12:00 p.m.
Schedule Your Appointment ›
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