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. This 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