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New Patient Forms

Welcome
Thank you for selecting My Dentist. To help us meet all your health care needs please download, print and fill out these 2 forms completely. If you have any questions or need assistance, please ask us, we’ll be happy to help.

Registration Form
Adult Health Form

For Children’s New Patient Forms Click Here

Call us today and schedule a Phone Consultation at 480-833-2232

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Treating you holistically is our approach to dentistry.


2045 S. Vineyard Rd., Suite 153

Mesa, AZ 85210

 


Give us a call:

(480) 833-2232

 


Hours of Operation:

Monday – Thursday
8:00am – 5:00pm

Open one Friday a month by appointment only.

 

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