Patrick Liu, DDS

3301 N Miller Rd. Suite 151
Scottsdale, AZ 85251
480.949.5579


New Patient Forms

  • First-time patients can print and pre-complete these documents and bring them to their appointment.
  • They can be downloaded and printed individually or as a group.
  1. Patient Information, Insurance, and Dental/Medical Questionaire (2 pg pdf)
  2. Financial Policy and Statement of Financial Responsibility
  3. Acknowledgement of Receipt of Privacy Notice
  4. Document Bundle (all of the above in a 4 page pdf)

Site Home | Back to Site Map | 2006 Patrick Liu