(480) 409-9799

Patient Forms

Going to the dentist can be an overwhelming experience, especially on your first dental visit. Let us put your concerns and anxieties to rest. Our goal at Goldwater Dental is to make every patient experience as comfortable as possible.

To make your visit as pleasant and brief as possible, there are a few things you should bring with you. Please bring any dental X-rays from the last six months to your first appointment.

With just a few simple forms, we’ll ask for relevant medical history, any medications you might be taking, your dental history, and any dental insurance coverage you may have.

Want to get a head start? Download the new patient forms below.

These documents are in Adobe PDF format. If you’re unable to read PDF files, please  download free Adobe Acrobat Reader here.

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Our Happy Patients

"Dr. Jensen is a wonderful dentist! His receptionist and practitioners are wonderful as well. Everyone was very welcoming and kind, I definitely recommend Goldwater Dental!"

Maddie J. Maddie J.

"Excellent dentist with great personal interest in his patients. The changeover was smooth and professional. I continue to give this practice the highest of marks in all areas. Thank You"

Michael L. Michael L.

"Excellent customer service and Teri at reception is wonderful! Dr. Jensen doesn't rush and answered all my questions. Everyone in the office is friendly, helpful and makes you feel at home."

Keri K. Keri K.
We're here to help you get the perfect smile!
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