New Patient Forms

We are here to make your visit as quick and convenient as possible. Check out our new patient forms to save time on the day of your appointment. We request you still arrive approximately 10-15 minutes early to allow for our normal check-in process.

New Patient Information Form
Notice of Privacy Practices

Give us a call at 928-782-3839 if you have any questions as you complete the forms. We are located at 1325 W. 16th Street Yuma, Arizona 85364.

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Please call the office at 928-782-3839, if you have any questions before your appointment or after you submit your appointment request. We are conveniently located at 1325 W 16th Street.

Monday	7am - 6pm
Tuesday	7am - 3pm
Wednesday	7am - 6pm
Thursday	7am - 6pm
Friday	7am - 6pm
Saturday	7am - 2pm

New Patient Forms

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Saturday Dentist Appointments

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Our Hours