dr. john harman dental care ph: 602.840.5300
Appointments
cosmetic dental services
zoom teeth whitening
 
our location

New patient Paper Work

For your convenience, our New Patient Forms are available for download here in Adobe Acrobat PDF format. The Adobe Acrobat Reader is FREE and can be downloaded by clicking on the icon below.

Fill out New patient forms on line and submit via email, or you may print and complete these forms at home before your first appointment, or you can fax them to the office at 602-840-3401. If you need assistance with downloading or printing these forms, please contact our office.

Medical History PDF »
Financial Policy »
Hippa Release »
Download Free Adobe Acrobat Reader »
Request an Appointment »

family dental care, phoenix | cosmetic dental care, phoenix | doctor & staff | location | appointments | financing | home
ph: 602-840-5300 fx: 602-840-3401 4730 E. Indian School Rd. Suite 210 Phoenix, AZ 85018