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| New Patient Form |
| Please download and fill the following PDF forms before going to our dental office |
| Office Financial Policy |
| Smiley Survey |
Important
Note to New Patients: |
Please
provide all insurance information when you make your appointment
so we may be aware of your benefits before your appointment. |
Please
arrive 10 minutes early to your first appointment. |
If
you have visited another dentist within the past year, please retrieve,
or have them forward your x-rays to our office. |
If
you need to take a pre-medication before dental appointments, please
do so before your first appointment. If you are not sure you need
a pre-medication, please call your physicians office, or refer to
this website. http://www.ada.org/public/topics/antibiotics.asp |
By
following these guidelines, we are able to provide services to all
our patients in the most efficient manner. |
M.S. Suresh D.D.S., M.D.S.
Pooja Suresh D.D.S.
1830
S. Alma School Road
Suite 136
Mesa, AZ 85210
Phone: (480) 491-0404