Patient Forms

Tucson Dentist - Dental Patient Forms - 151 Dental Care


The first visit to our office is designed to get you better acquainted with all we offer as well as introduce you to Dr. Dixon and our caring staff. We encourage questions and do our best to always deliver quality care.

Please take a moment prior to your scheduled appointment to download our patient forms. We ask that you complete the forms and bring them with you to your appointment so we may better assist you in a timely manner. Thank you for your confidence in our office, we look forward to assisting you with all your dental needs.

Patient Forms

New Patient Welcome.pdf

Health History.pdf

Policy on Dental Insurance.pdf

FACTS YOU SHOULD KNOW ABOUT YOUR INSURANCE.pdf

ACKNOWLEDGEMENT OF PRIVACY PRACTICES.pdf

NOTICE OF PRIVACY PRACTICES.pdf

HIPPA Omnibus Rule.pdf

ReschedulingPolicy.pdf


This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

 

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