Call Us: (602) 956-2260

Patient Forms

We want to welcome you to the AZ Valley Dental Group family!

We are glad that you are interested in becoming a patient of Dr. George Eifler’s Phoenix, AZ dental practice. New patients are always welcome here. Everyone at AZ Valley Dental Group is committed to making your visits pleasant and stress-free. You can count on our friendly, highly experienced staff to always provide the highest standard of dental care in a clean, state-of-the art environment. Your comfort is our top priority.

We look forward to seeing you soon!

Dr. George Eifler and the AZ Valley Dental Group team

Prior to your next scheduled appointment please download our patient forms, found below. Please complete the forms and bring them to your appointment. 

Click the following links to download each form to your computer. Once the forms have been downloaded, print a copy of each and complete all fields.*

 

Patient Registration

Disclosure of Information

Records Release

Doctor Referral