Learn Why Our Patients Love Us

Patient Forms

Below you will find a list of our patient forms as well as post surgery care instructions and information. If you wish to fill out your paperwork in the comfort of your own home prior to your appointment, you may do so by printing them out and bringing them with you when you come in. If you are a first time patient, you are required to fill out the Patient History Form.

If you have any questions regarding these forms, please call our office at 480.948.0560.

Common Forms

Patient History Form (submit securely online)

Full HIPAA Privacy Policy (pdf format, 95k)

Office Policies (submit online)

Instructions & Information Sheets

LANAP Information Sheet (pdf format, 881k)

Care of Mouth After Oral Surgery (pdf format, 251k)

Homeopathic Remedies Instructions (pdf format, 260k)

Care for Your Provisional Crown Instructions (pdf format, 242k)

Epworth Sleepiness Scale Form (pdf format, 211k)


Millennium Dental Associates
5705 N. Scottsdale Rd.
Bldg D – Suite 110
Scottsdale, AZ 85250
Phone: 480.948.0560

Monday: 8am – 4pm
Tuesday: 7am – 3pm
Wednesday: 8am – 4pm
Thursday: 8am – 3pm
Friday: Closed

Cash, Check, Visa, Mastercard, AMEX, Discover

Have questions? Give us a call!