Patient Forms

If you have children who want to sail the seven seas at Treasured Smiles Children’s Dentistry, then you can prepare for their first visit with Dr. Duane C. Clouse by completing the patient forms below. Our dentist in Maricopa, Arizona, looks forward to helping care for your child’s smile.

If you are a parent or guardian filling out forms for a child please sign with your child’s info.

Patient Forms