Dental Patient Information - Phoenix

We’re Here to Make Your Initial Visit the Best

Patient Forms

Below are our new patient forms and HIPAA Policy. Please fill out these forms online before your appointment so we can expedite your first visit.

Cave Creek NP Registration

Glendale NP Registration

North Phoenix NP Registration

All Locations NP Registration

HIPAA Consent Form

Dental Insurance

We at AZ Family Dental strive to provide quality dental care that exceeds expectations. Our goal is to help patients receive the treatment they need at a reasonable cost. To do so, we have contracted with the following PPO providers:

  • United Healthcare
  • Ameritas
  • Connection Dental
  • Guardian
  • Principal
  • Delta Dental
  • Cigna
  • GEHA
  • Assurant
  • Humana
  • United Concordia Dental
  • BlueCross BlueShield
  • MetLife

While we are contracted as a preferred provider for many PPOs, we accept all other PPOs as an out-of-network provider. We also accept all traditional indemnity insurance.

Payment Plans

cherry logo

Let your money go further and take better control of your cash flow when you pay in smaller, more manageable monthly installments with Cherry.

Select your preferred location below to get started with the pre-qualification process.

North Phoenix


Cave Creek