COVID-19 Exposure Form

Please print and fill out this form and email back to [email protected] no later than 2 days prior to your dental appointment. Otherwise your appointment could be cancel if we do not have on file before you walk in our office.┬áThis form does not autofill, you must print.

Ready to Improve Your Smile?

Call us with any questions or to make an appointment.

480-822-7659 Appointments