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  • Richard E. Jones II, DDS, MS
  • 15029 N. Thompson Peak Pkwy, Ste B-119
    Scottsdale, AZ 85260
  • (480) 614-2211
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Office Visits | Financial Information | Patient Forms | Orthodontic FAQs
Testimonials

patient forms

Please take a minute to print and fill out the patient information form before your first appointment:

  • Patient Form (Child) PDF
  • Patient Form (Adult) PDF
  • HIPAA Form PDF

-OR-

  • Fill out the patient forms online securely HERE

If you’re unable to open PDF files, you can get Adobe Reader® for free.

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