your first visit
New Patient Forms
Reduce the amount of time spent in our office by preparing your new patient paperwork at home. You can utilize our online form function by following the link below, or if you’d prefer you can download, fill out and bring with you to your first visit. If you have any questions, please contact us in the office.
A new dental studio
Peace of Mind is a family dental practice located one block West of Downtown Chandler in the East Valley area of Phoenix, Arizona.
welcoming new patients
Dr. Jeremy Silverman is currently accepting new patients.
Complete your new patient forms online.
This link will open your online forms on an external site, in a new tab.
if you’d prefer to fill out your form by hand, you can download forms to print and fill out. Remember to bring them with you to your visit!
Depending on your browser and computer, forms typically open in a new tab or window within your web browser. From there you may choose to download the pdf, or print directly from the browser window.
Medical History Form
Dental Concerns Assessment
Tips & advice from Dr. Silverman:
Enjoy coffee? Do you often brush after?