New Dental Patient Forms


Click the New Patient Form button for all necessary paperwork. There is no other paperwork needed for first-time patients.
If Affleck Dental has asked you to fill out one of the specific forms below. Click and you should be able to print off and fill it out.

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Affleck Dental

Restoration & Prosthodontics
466 N Main Street, STE 100
Clearfield, UT 84015

p. 801.614.7013

HOURS
Mon     8am - 5pm
Tue      8am - 5pm
Wed     8am - 5pm
Thu      8am - 5pm
Fri        8am - 5pm
Sat      Closed
Sun     Closed
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