Enrique G Wismann, DMD Cosmetic Family Dentistry
Call: 623.566.6478

For your convenience, we have provided digital copies of our new patient forms which you may download, print, and fill out. Please give these to the receptionist when checking in for your appointment.


Thank you!


Notice of Privacy Practices

Acknowledgement of Receipt of Notice of Privacy Practices

Consent for Use and Disclosure of Health Info

Patient Registration Form

Dental & Medical History Form



*Forms will be in PDF format. If you do not have a PDF reader, you may download and install the free Adobe Reader here.