info@smileworksaz.com
Phoenix: (602) 375-8646
Chandler: (480) 883-7730
Tempe: (480) 491-1170
Our email address:
info@smileworksaz.com

Our Phoenix Location:
401 E Bell Road, #14
Phoenix, AZ   85022
Phone: (602) 375-8646
More about this location

Our Chandler Location:
1075 E Riggs Road, #2
Chandler, AZ   85249
Phone: (480) 883-7730
More about this location

Our Tempe Location:
1840 E Warner Road, #117
Tempe, AZ   85284
Phone: (480) 491-1170
More about this location
Quick Contact Form:
Information for New & Existing Patients
Smileworks
Dentistry

Info for New Patients

We are very excited that you are planning to visit us here at Smileworks Dentistry!

As with most health-related processes, dentistry requires a little bit of paperwork to be filled out, but we've cut it down to only about 2 & 1/2 pages, so don't worry!

Better yet, you can download a copy right on your computer, print it, fill it out as best you can before coming in, and come visit us, ready to receive instant dental care!

The new patient form is available below, in both Microsoft Word and Adobe PDF formats, for your convenience:

New Patient Form - Word

New Patient Form - PDF

If you have any questions or are unsure about any areas on the form, simply leave them blank, and we will be more than happy to assist you and answer any questions when you arrive!

Info for Existing Patients

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