Patient Forms

Get a head start by filling out new patient forms before your visit.

Patient Forms

Get a head start by filling out new patient forms before your visit.

Downloadable Forms

New patients, please download and print the following forms, fill out completely, and bring in at time of appointment.

New Patient Form

Additional Required Forms

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We’re excited to meet you.
What can we help with?

Click below or call us at
(801) 798-6023 to schedule an appointment with our friendly staff.

  • "All the equipment at this office is state-of-the-art. I feel very safe here because I know it's safe and current. I thought the staff was amazing; they were so friendly and helpful, and made sure I felt welcome there. I didn't have to wait at all after I arrived for my appointment. They were running right on time, which is a really big deal for me. I'm very confident that my health is their top priority, and I know they would never recommend any sort of dental procedure that I didn't need. I trust them completely. They made the extra effort to make sure every question and concern I had was addressed."

    —Patti A.

Downloadable Forms

New patients, please download and print the following forms, fill out completely, and bring in at time of appointment.

New Patient Form

Additional Required Forms

woman-circle

We’re excited to meet you.
What can we help with?

Click below or call us at 801-798-6023 to schedule an appointment with our friendly staff.

  • "I’m writing to let you know that the infected root canal you extracted on May 30th, is healing nicely. I have followed all instructions you provided—using ozonated olive oil (kept in the freezer), homeopathic drops, vitamin C gel, rinse twice daily with warm sea salt water, and get lots of rest. Within four days of the extraction, I began to feel an increased energy lever. I am more clear-headed. I’m not coughing and clearing my throat all the time. I don’t experience frequent nausea. I’m sleeping soundly through the night, instead of waking up in the wee hours. My complexion has a healthier color. I’m not feeling stressed and run down—a sparkle is returning to my outlook on life! The infected root canal was literally poisoning me, head to toe, for the past several years. I thoroughly enjoyed meeting you and your assistants, and our interesting conversations. I want to thank you for the fine work you did extracting the infected root canal tooth. The ozone shots you provided gave my body the extra boost it needed in the healing process. Thank you for your unique skills, and willingness to devote your practice to a holistic approach to dentistry! We need more dentists of your caliber that are willing to step up and do what’s right for people’s health. I wish you continued success in your work and studies. God bless you, your staff, and your ongoing efforts."

    —Glenda B.