Help Us Get Ready for Your Visit!
To make your appointment as smooth and efficient as possible, please take a few minutes to complete your patient forms ahead of time. You can fill them out digitally and send them back before your visit — saving you time in the office and helping our team prepare for your care.
If you have any questions or need help with the forms, don’t hesitate to reach out. We’re here to help!
Patient Forms
(Click to download and fill out)
New and Existing Patient Medical Form
New Patient Form
Financial Policy
Informed Consent
Privacy Practice
Terms and Conditions (Terms of Service)
Effective Date: 1/1/2025
By opting in to receive SMS messages from AZ Dentist (“we,” “us,” “our”), you agree to the following terms:
1. SMS Messaging Service
By providing my phone number, I consent to receive SMS text messages from AZ Dentist for appointment reminders, marketing messages, and general two-way communication. Msg frequency varies. Msg & data rates may apply. Reply HELP for support. Reply STOP to opt out.
2. Message Frequency
You will receive [state expected frequency, e.g., up to 4 messages per month]
3. Message and Data Rates
Message and data rates may apply based on your mobile carrier’s terms.
4. Privacy Policy
Your information will be handled in accordance with our Privacy Policy, which can be viewed in our Patient Forms section.
5. Opt-Out Instructions
You can opt out at any time by replying “STOP” to any SMS message. Reply HELP for support. You may also contact us directly for any questions or clarifications at 602-638-2539
6. Liability
We are not responsible for any charges, errors, or delays in SMS delivery caused by your carrier or third-party service providers. By opting in, you confirm that you are the owner or authorized user of the phone number provided and that you are at least 18 years old.
Privacy Policy
Effective Date: 1/1/2025
AZ Dentist (“we,” “us,” “our”) is committed to respecting and protecting your personal information. This Privacy Policy explains how we collect, use, and share information when you opt in to receive SMS messages from us.
Information We Collect
When you opt in to receive SMS messages, we collect:
Your phone number
Consent to send SMS messages
How We Use Your Information
We use your information to:
Send you the SMS messages you’ve opted in to receive
Provide updates, promotions, or other relevant content based on your preferences
Sharing Your Information
We do not share your phone number or SMS opt-in information with third parties for marketing purposes.
Your Rights
You can opt out of receiving SMS messages at any time by replying with “STOP” to any message we send you.
Data Security
We implement reasonable measures to protect your personal information from unauthorized access or disclosure.
Contact Us
If you have questions or concerns about our privacy practices, contact us at 602-638-2539.
