Patrick Liu Scottsdale Family Dentist

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)
 
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