Call us: (520) 297-9069
Arizona Dental Medicine
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    • Services & Patient Education
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  • Contact Us
  • Home
  • Our Office
    • Office Info
    • Doctors
    • Hours & Directions
  • Services & Patient Education
    • Services & Patient Education
    • Patient Forms
    • Patient Reviews
    • Appointment
    • Insurance/Payment
  • Contact Us

Patient Forms

We are dedicated to assisting you in a timely manner!

Please print the forms and bring with you at the time of your first appointment. Thank you and we are looking forward to seeing you.

  • Patient Registration
  • General Consent
  • Financial Policy
  • Oral Cancer Screening
  • Medical History
  • HIPA Authorization for Release of Identofying Health Information
  • HIPA Medical Information Disclosure and Access Notice
  • HIPA Notice of Privacy Practices
  • TMD / Dental Sleep Medicine
  • Records Release – Going Out
  • Records Release – Coming In
  • Military: Form 2813 Available in office

Featured Services

  • Orthodontics
  • Cosmetic Dentistry & Facial Aesthetics
  • Partials, Dentures, Crowns and Bridges
  • Oral Surgery / Dental Implants
  • Root Canals
  • Teeth Whitening
  • TMJ Treatment
  • Preventative Dental Care

Recent Posts

  • Dental Health & Your Diet May 28, 2015
  • Electric versus Manual Brush May 26, 2015
  • Bad Breath May 26, 2015
  • Invisible Braces Bring Visible Results December 20, 2012
  • Painful Mouth Sores – Canker versus Cold November 29, 2012

Post Categories

Links:

  • American Academy of Craniofacial Pain
  • American Academy of Pain Management
  • American Academy of Sleep Medicine
  • American Board of Craniofacial Pain
  • International College of Cranio-Mandibular Orthopedics

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Find Us

Arizona Dental Medicine

6596 N. Oracle Rd. Tucson AZ 85704

(520) 297-9069

services@azdentalmed.com

Testimonials

Loved it here. I was a little nervous walking into this newly renovated dental office. Thankfully Dr. Garfield, Eli and Kristi eased…See All

Little Nervous - Patient Michelle

I was comfortable, and my teeth look great after a thorough cleaning! The staff was kind and welcoming- I’ll definitely be going…See All

Kind - Patient Heather

It was an absolute pleasure to be a patient at this office and I never thought I would say that about a…See All

Absolute Pleasure! - Patient Adrian

The dentist that work here are great and amazing people. See All

Great & Amazing - Patient Craig

Had two wisdom teeth extracted by Dr. Garfield. He is professional, very nice and gentle. I am so glad I found this…See All

So Glad - Patient Zenia

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