8345 W Thunderbird Rd, Ste B-100, Peoria, AZ 85381, United States

602-943-3700
8345 W Thunderbird Rd Ste B-100
Peoria AZ 85381

Alpha Dental & Braces Alpha Dental & Braces
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  • New Patients

New Patient Checklist

Home / New Patient Checklist

New Patient Checklist

  • Photo ID

    Valid driver’s license or state ID.

  • Insurance Card

    If you have insurance, please do not forget to bring your insurance card or information.

  • Medical History Form

    Download from this page.

  • Patient ID Form

    Download from this page.

  • X-rays (if available)

    If you have x-rays within a year, please feel free to bring them in.

Medical History Form
Patient ID Form

Please download the forms, and bring them with you for your first appointment to expedite your visit.  If you are unable to download or print, don’t worry.  We will provide the forms when you arrive.  Please bring your ID and any insurance information or card.  If you have any recent x-rays (less than 1 year old), please feel free to bring a copy with you.  Your previous dental office can make you copies for a reasonable charge.  However, if the copies are not of diagnostic quality, we may have to take new x-rays. Any x-rays more than a year old will generally not be relevant.

Alpha Dental & Braces Alpha Dental & Braces
8345 W THUNDERBIRD RD STE B-100 PEORIA, AZ 85381 (602)943-3700
© 2017 Alpha Dental Corporation