Resources

New Patient Form

You can complete the New Patient Form on your computer and then return it to us:
1. By fax to: (928) 445-3268
2. By mail to: 3765 Crossings Drive, Suite A, Prescott, AZ 86305
3. By e-mail to: prescottsmilecare@cableone.net
4. In person: Simply bring it with you when you make your first visit.

Download here: New Patient Form

Financial and X-Ray Policies

Download here: Policies Form

Payment Options

We accept cash, check, Visa, Mastercard, Discover, and CareCredit.

To learn more about CareCredit, please visit their website at www.carecredit.com or call them at (800) 365-8295.

Contact Us Today!
P: (928) 445-8503
F: (928) 445-3268

Open Monday -Thursday
8:00am - 4:30pm

3765 Crossings Drive, Suite A
Prescott, AZ 86305

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