New Dental Patient Forms

Click the New Patient Form button for all necessary paperwork. No other paperwork needed for first-time patients.

Need to print off a specific form, click below...

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    Utah Dental & Prosthodontic Association
    AFFLECK DENTAL

    RESTORATION & PROSTHODONTICS
    466 N Main Street, Ste 100
    Clearfield, UT 84015

    HOURS

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