Patient Forms

Patient Forms

Patient Forms

We know your time is valuable! Save time before your first appointment, print out your new patient paperwork and bring it with you!

Transferring from another office? No problem! Please fill out a records release form and bring it into our office so we have all of your dental history on file and ensure your first visit is smooth sailing!

We request you give us 24 hour notice before cancelling your appointment. Please see our cancellation policy for more information.

The team at Queen Creek Dental are comprised of super friendly, competent and efficient professionals. Dr. Mullenaux is very personable and always takes a few minutes to catch up with his patients despite how busy the office is. I no longer dread my dental visits thanks to the team at QCD.
— Shantell A.   (Patient since 2015) May 5, 2018

Outstanding service! Highly competent staff, state of the art equipment, fair pricing. Highly recommend!
— Kelly L.   (Patient since 2017) May 15, 2018

This is the best dental office in the area. The office staff is terrific. Dr. Daniel Mullenaux spent time with me and listened to a what I wanted and I got exactly what I said I wanted. He is great. and I got exactly what I asked for. All the people in the office know how to smile.
-Marilyn B. (Patient since 2018)  May 16, 2018