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 Offer

50% off New Patient Exam*

*includes full-mouth x-rays, blood pressure check, and cleaning (if gum disease is not present)

Call 928-783-0804 today for an appointment.
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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 Center Loop Ste 105
Yuma, AZ 85367

Call: 928-783-8300
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