Download Medical Forms

First Visit Forms

Ensure that you don’t have to wait any longer than necessary by filling out these forms before your first visit. If you do not understand some questions, we can answer them when you come in. Please see Scheduling Your First Visit for other appointment questions, or feel free to call us at our, Mesa Office Phone Number 480-981-0094.

•	New Patient Paperwork

Treatment Consent Forms

If you are scheduled for a tooth extraction/removal or a root canal, please download and fill out the appropriate form prior to your visit:

•	Informed Consent for Root Canal Therapy
•	Informed consent for Oral Surgery

Please see After Treatment Home Care for post-operative instructions.

CONTACT US
Dental implants and the All-on-4® Treatment Concept have literally transformed millions of lives. Why not see what they can do for you or someone you love? Want to know more?

Call us at (480) 939-5818 to schedule a consultation, to see if dental implants are right for you.

We are your dental home for the whole family.

1244 N Greenfield Road, Suite 105
Mesa, AZ 85205

Call (480) 939-5818

Dentist Mesa • Timothy H. Kindt, DDS • Download Medical Forms
At Timothy Kindt, DDS we place your comfort and happiness as a high priority, which is why we offer many of our forms online. Why not call us at: (480) 939-5818.
Timothy H. Kindt, DDS, 1244 N Greenfield Road, Suite 105, Mesa, AZ 85205; (480) 939-5818; drkindt.com; 2/11/2021; Tags: Dentist Mesa AZ; Dentist Mesa AZ;