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intake forms

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Please download, print and complete the Patient Health History Form before coming to the office.

1. Patient Health History Form

patient health history form

2. HIPAA Patient Consent Form

hipaa patient consent form

3. Financial Agreement Form

patient registration form

most insurance accepted!

Our friendly staff at Cañada Hills Dental are committed to excellence, and will explain every questions you may have!

Call Us At (520) 877-3234
canada hills dental

Contact / Hours

Monday7:30 am - 3:30 pm

Tuesday7:30 am - 3:30 pm

Wednesday7:30 am - 3:30 pm

Thursday *8:00 am - 12:00 pm

* By appointment only

Request an Appointment

Thank you

Someone will be right with you shortly!

canada hills dental
10325 North La Cañada Dr, Ste. 181, Oro Valley, AZ 85737
(520) 877-3234
receptionist@canadahillsdental.com

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