Please click on, and fill out, each form.

We encourage you to fill out your patient forms prior to your appointment with our dentists, as this will save you time in our office and streamline your visit.

When you click on the link below, you will be brought to our 2 new patient forms, each of which you will need to select and complete. Please be sure to complete both forms in one sitting. This will take 10-15 minutes. If you do not complete them in one sitting, the system will time out, and you will need to begin again.

Fill Out Patient Forms

When filling out our forms, you will need to click the forward arrow at the bottom of each page in order to fill out all of the information.  Please make sure that each box with a red asterisk beside it is filled out, as this is required information.

When you have completed the form, select the “Submit” button at the bottom of the page to send your forms to our office.

If you have questions about our patient forms, or to make an appointment with our experienced dentists in Payson, Arizona, please call Payson Premier Dental at 928-472-8400.