7102 E. Acoma Dr. Suite 3
Scottsdale, AZ 85254

Michael R. Thompson, DDS

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New Patient Forms

The 3 forms below will need to be filled out by the patient sometime before the  initial appointment.  You may arrive early to your appointment in order to complete the forms, or you may print them out and complete them ahead of time.  Either way, we are happy to help you with any questions you may have.

* The forms below are formatted in PDF.  You can download the free Adobe® Reader software by clicking here:

Downloadable Forms:

  1. Patient Information

  2. HIPPA Consent

  3. Notice of Privacy Practices