The staff at Pima Pediatric Dentistry is committed to providing excellent dental care in a comfortable environment where patients can relax and feel at ease. Here you will find information on what to expect during your first appointment along with links to patients forms and paperwork.
For the first visit, please complete our Registration Form and either bring it with you to the first appointment or e-mail it to us. Please complete all sections of the Registration Form which includes:
- Registration and Insurance Information
- Dental and Medical History
- Confidentiality Statement
- Consent and Release
- Financial Policy
- Acknowledgement of Receipt of Notice of Privacy Practices
If you are transferring your child’s care to our office from another dental provider, please complete the “Authorization to Release Records To” form. If you are an existing patient leaving the area or transferring care to another dental provider, please complete the “Authorization to Release Records From” form. These forms allow us to either request or transfer your records.
We are happy to hear from you, answer your questions, and schedule an appointment. Call Pima Pediatric Dentistry at 520-748-7073 or stop by our office.
2096 North Kolb Rd Suite 108
Tucson, AZ 85715