Patient Forms

If you would like to download all 6 forms at once, please click on our Patient Packet below:

These files are in PDF format. If you do not have Adobe® Reader® on your computer, you can download it for free by clicking here or on the Get Adobe Reader icon.

Dr. Scott LeSueur, Dr. Glenn LeSueur, and Dr. Charles Dodaro are Mesa dentists, serving Phoenix, Scottsdale, Tempe, Gilbert, Chandler, and other East Valley Cities in Arizona, combine LVI training and state-of-the-art technology to bring you, and your entire family, the very best and healthiest cosmetic and neuromuscular dental care.

Visit our before and after gallery to see the results we are able to achieve for our patients. Please contact or call 480.834.6991 to schedule a consultation at Drs of Smiles.

Ready to Schedule Your Appointment?

* All indicated fields must be completed.
Please include non-medical questions and correspondence only.

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