Registration & Forms

 
(801) 745-3882

Registration

Save time at your first visit by printing and filling out these forms before you arrive:

PATIENT INFORMATION
DENTAL INSURANCE INFORMATION FORM
PAYMENT OPTIONS

On Call Club
(For those with no dental insurance and a flexible schedule.)

Burton Dental Plan
(Bi-Annual Preventative Care Visit Coverage, and 20% discount on all dental services performed in our office when paid in full at the time of the appointment.)

Information:

Financing

Care Credit  (to sign up for finance treatment plans of $300 or more)

Notice of Privacy Practices

Healthy Smiles

What does your smile say about you? Let us help you radiate confidence with a healthy smile.

Testimonials

Testimonials

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ACCESSIBILITY