Patient Forms
If you are ready to get your child started on their oral health adventure at our dental practice in Maricopa, Arizona, we invite you to fill out our new patient forms online! By filling these out in advance, you can save more time during the first part of your appointment and streamline your overall visit. Please feel free to contact Treasured Smiles Children's Dentistry today at 520-316-6111 and ask for a visit with our pediatric dentist, Dr. Duane C. Clouse.
Online Forms Hub
We can’t wait for you to start your adventure with Treasured Smiles. To guarantee smooth sailing upon your arrival, download and complete each of the forms listed below:
Patient Information Form
Medical History Form
HIPAA Privacy Policy Form
Contact Our Office
To get your child started on dental care in Maricopa, Arizona, contact us today at (520) 316-6111 and schedule a visit with our friendly pediatric dentist, Dr. Duane C. Clouse.