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New Patient Forms


For your convenience, all new patient paperwork can be accessed online. Feel free to download each form below, complete the forms at home, and bring the forms with you to your first appointment. Please don't hesitate to call our office If you should have any questions about downloading or completing these forms, we will be happy to help you.

Have Additional Questions? Call Now: (623) 738-2639 • Ready to Schedule Your Appointment? Click Here!
Contact Us
Frank W. Sallustio
Diplomate, American Board of Prosthodontics
13802 W. Camino Del Sol
Sun City West, AZ 85375
New Patients: (623) 738-2639
Current Patients: (623) 975-0796
Fax: (623) 975-0828
Featured Services
All-On-4® Treatment Concept
Teeth in a Day
Bridges and Partials
Crowns
Porcelain Veneers
Dental Implant Information
Sedation Dentistry
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