Patient Forms
Completing your forms before you arrive can make check-in easier. We want your first visit to feel organized from the very start.
If you are a new patient at Dentists 'R Us in Gilbert, AZ, completing your forms ahead of time can help your check-in go more efficiently. You can fill them out digitally or print them and bring them to the office.
Complete Your Forms Online
Fill out your new patient form online before your visit — no printing required. Choose the form that applies to you:
New Patient Form — Adult
Patient information, insurance, dental and medical history, and treatment authorization for adult patients.
Fill out online →New Patient Form — Child
Patient information, insurance, dental and medical history, and authorization for children and minors.
Fill out online →Record Release Form
Authorize the release or transfer of your dental records to or from another provider.
Fill out online →Forms to Complete
The online forms above cover the information our office typically asks for, including:
- Patient Information Form — Personal details, contact info, and emergency contact
- Medical History Form — Current health conditions, medications, and allergies
- Dental History Form — Previous dental work, concerns, and goals
- Insurance Information — Carrier, policy number, and subscriber details
- Consent for Treatment — Authorization to provide care
What to Bring to Your First Visit
- Valid photo ID — Driver's license or state-issued ID
- Dental insurance card — If applicable; coverage varies by plan, and you can confirm your benefits with your insurer
- Completed patient forms — May help streamline your check-in
- List of current medications — Including dosages and supplements
- Previous dental X-rays — We can request these from your prior dentist
Call us at 480-558-7500 and our front desk team can walk you through the forms. We are happy to answer your questions before your appointment.
Ready to Schedule Your First Visit?
New patients are welcome. Complete your forms online, then request your appointment online or by phone.