Wainwright Dentistry Quality Care Convenient Hours
Wainwright Dentistry              Quality CareConvenient Hours           

Patient Forms

New patient? Please download and fill out the following forms when you come in for your first appointment.

Patient Medical History Form

This form is mandatory for new patients. To expedite your visit, print this form, fill it out and bring it with you for your first visit.

Download
Patient Medical History Form
Please ask for and fill out this form at the front desk.
This form will be added online soon.
New file download

Privacy Notice

Please read over and sign our Notice of Privacy Practices, acknowledging our privacy policy. This form should also be brought to your first appointment.

Download
Privacy Notice
New file download

Make an Appointment Today!

(623) 412-7943

Office Hours

Monday-Friday 8:00am-8:00pm

Saturday         8:00am-4:00pm

Sunday           8:00am-4:00pm

24/7 Emergency Care



 

Outside our regular business hours, please note our emergency care information.

Call us at: (623) 412-7943

 

Wainwright Dentistry

9460 W Peoria Ave

Peoria, AZ 85345

Suite G

 

One Block West of the 101 Freeway and Peoria Ave.

 

Use our contact form to get in touch.

News

Helpful Information

What is the best preventive care for your teeth? Find out how to make your next visit easier and more pleasant.



Print Print | Sitemap
© Wainwright Dentistry