Northern Smiles Dentistry Patient Forms

Patient Forms

Patient Forms Dentist Phoenix, AZ | Northern Smiles Dentistry & Orthodontics
What To Expect

Bright Smiles & Friendly Faces

Your first visit at Northern Smiles Dentistry is a special one. When you walk through the doors of our modern dental facilities you’ll be greeted with a big smile and friendly faces. Our team was hand-selected for their upbeat attitude and professionalism. No matter your background, oral health condition, or previous dental experiences we tailor each appointment to you to provide a family-like experience. We take your satisfaction very seriously at Northern Smiles Dentistry and will do everything we can to make sure that each appointment is a pleasurable experience.

New Patients

Complete New & Returning Patient Forms Before Your Appointment

Prior to Your Visit

Please complete your medical history and provide a list of all medications taken. If available, please provide any recent X-rays from other dental providers, as well as your driver’s license and, if applicable, your dental insurance cards/forms.

Note: All patients under age 18 must be accompanied by a parent or guardian during the initial consultation.

During Your Visit

When you arrive for your appointment, we will complete an in-depth medical and dental health history, and will conduct a thorough examination to measure bone loss, loose teeth, bite, TMJ and other signs of periodontal disease. We will also perform an oral cancer screening.

Implant Patients

A 3D CT scan may be recommended for dental implant patients. This scan allows for analysis of available bone, anatomical structures and nerves prior to implant placement, improving the precision and safety of this procedure. A typical dental implant exam lasts about 30 minutes.

Please notify the office if you have a medical condition or concern prior to surgery (e.g. artificial heart valves or joints, heart murmurs requiring pre-medication, severe diabetes or hypertension).

New Patients

Ahead of your initial visit, register below by downloading and filling out the following forms:

Returning Patients

If you are an existing patient and need to update your medical history, please fill out the form below.

Testimonials

What Our Patients Say

We know that finding a new dentist isn’t exactly the easiest process, but we hope that seeing some of our patient reviews and testimonials will shed some light on why we think we are the best dental office in Arizona!

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