Patient Forms

We have made our new patient forms available to you as Adobe Acrobat files. For your convenience, we recommend printing and completing these forms at home. Please remember to bring your completed forms with you for your first appointment. If you have any problem getting these files to print properly, please call our office and we will gladly send or fax them to you.

 

New Patient Offers

For Patients Without Insurance:

New Patient Exam Only $187 (Includes exam, x-rays, and cleaning if gum disease is not present. Save over $300!)

For Patients With Insurance:

Get a $25 Target or Starbucks Gift Card (After new patient exam. Limit one per family. Must mention offer when scheduling your exam.)

Call 928-783-0804 (Pacific Ave) or 928-783-8300 (Fortuna Foothills) today for an appointment.

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    Voted one of Yuma's Best Dentists in 2019!

    The Yuma Dentist is one of the best dentist in Yuma in 2019
    Testimonials
    • I have fears of going to the dentist... That all changed when I went here.
      —Charlenne Escoto
    • Excellent care and service for the entire family. My kids are now excited about going to the dentist.
      —Kathryn Steinly
    • I have had outstanding service every time I went into the office.
      —Thomas Ziegler
    View more reviews or leave a review below
    Locations
    Yuma
    1630 S Pacific Ave Ste 104
    Yuma, AZ 85365

    Call: 928-783-0804

    Fortuna Foothills
    11231 E Commercial Centre Loop Ste 105
    Yuma, AZ 85367

    Call: 928-783-8300
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