Smile Dental Clinics - Phoenix, AZ

Patient Forms

Smile Dental Clinics is happy to make our form available online for our patients ease of use.

Simply click on the links below and fill out the appropriate forms BEFORE your appointment in order to save time in the office at the time of your appointment.  If you have any questions or concerns, please call us right away at (623) 235-8195.

Smile Dental Clinics - Phoenix, AZ

Patient Forms

Smile Dental Clinics is happy to make our form available online for our patients ease of use.

Simply click on the links below and fill out the appropriate forms BEFORE your appointment in order to save time in the office at the time of your appointment.  If you have any questions or concerns, please call us right away at (623) 235-8195.

doctor's office

Adult Forms

Child Forms

Need to remit a payment? Call our office at (623) 235-8195 for assistance.

Our dental family is here for your family
Our dental family is here for your family
Our dental family is here for your family
This place is incredible. The staff is personable and efficient. Dr. Harsini is a very gentle dentist and a “what you see is what you get” kinda guy. Just had an implant with a bone graft…..piece of cake! The name SMILE is perfect!
Kathleen Tyryfter
Kathleen Tyryfter
01:38 30 Jul 22
Great service, have been going here for years and have never had any issues. Love this place and their employees.
Hector Tellez
Hector Tellez
14:43 27 Jul 22
excellent caring professional people providing service
Mike Johnston
Mike Johnston
11:22 21 Jul 22
They are very good and kind very helpful I have never had a problem with there staff
Iva I Lewis
Iva I Lewis
14:52 15 Jul 22
Very caring staff who are willing to work with you financially.
Selena Luna
Selena Luna
16:00 12 Jul 22
Puntual and professional …..very respectful and helpful in everything….
Yolanda Marin
Yolanda Marin
01:04 09 Jul 22
son atentos y muy amables
Jaime Escobedo Cuenca
Jaime Escobedo Cuenca
00:33 15 Jun 22
Everyone is caring, professional and knowledgeable. They make sure you walk out of there with a Smile 😃….
Sylvia Garza
Sylvia Garza
12:28 19 May 22
Everyone is very kind, from receptionist to dental assistants, and financing personnel. They make sure patients feel comfortable in every visit.
Anarela Alvarez
Anarela Alvarez
04:20 19 May 22
Very efficient and friendly staff especially The ortho staff David and Tanya
Carlota Ramos Nitura
Carlota Ramos Nitura
00:32 12 May 22
Muy buena atención, amables y económico
Ana Limon
Ana Limon
02:14 05 May 22
very friendly crew and Drs. , hope to do more business with them soon
Todd Zipprich
Todd Zipprich
00:32 04 May 22
js_loader