NEW PATIENT FORMS
Please read the information below before proceeding

Thank you for selecting us to provide dental care for you and your family.

So that we may better serve you, please print the forms and complete the questionnaire. Clicking the "Print Forms" link below will deliver you to our patient information forms.

Submitting Information for Multiple Patients:
If you are submitting information for more than one person, please print
and complete these forms for every new patient.

After completion, please bring or fax these forms to our dental office.

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Copyright © 2005 Eastern Canyon Dental . All rights reserved. >>SITE DESIGNED BY ARTE WEB DESIGN<<
Joel Stokes, DDS
Eastern Canyon Dental
8605 South Eastern Ave.
Suite A
Las Vegas, NV 89123

ph: (702) 699.9876
fx: (702) 699-9872

allstardds@msn.com