Patient Forms - Perfect Smiles Dentistry

Save time before your next visit

download and fill out these forms before your first appointment!

When visiting Perfect Smiles Dentistry for the first time, we provide several ways that you can tell us about your dental history. The patient information form and our online appointment forms make this information available to us immediately. If you don't have time to fill out the forms at first visit, just download them from here , and then fill them out at home. That way when you come in for your first appointment we can quickly get you from the waiting room to the dentist!

Download All Forms

New Patient
Form

Dental Practice
Policies

Notice of
Privacy policies

health
history

consent to
discuss

Oral Cancer Screening Consent Form

explore other new patient resources at perfect smiles dentistry

woman tipping on laptop Perfect Smiles Dentistry Chandler, AZ

Reviews

Click here to read our latest reviews, view our reviews on different platforms, and if you are a current patient leave us a review!

black woman typing in laptop Perfect Smiles Dentistry Chandler, AZ

Special Offers

Save your hard-earned money at the dentist with these limited-time offers! Click here to see what offers we are currently running!

man with laptop Perfect Smiles Dentistry Chandler, AZ

dental insurance

Dental insurances can be tricky to understand, especially when it comes to what treatments are covered. Click here to learn more about dental insurance.

happy black family Perfect Smiles Dentistry Chandler, AZ

VIP Payment Plan

Are you without dental insurance and unsure about the best way to save money on dental treatments and procedures? The VIP Payment Plan may right for you!

Request An Appointment

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Don't want to wait for us to get back to you? Click here to call now!