Mon: 7:00am - 8:00pm
Tue: 7:00am - 8:00pm
Wed: 7:00am - 8:00pm
Thu: 7:00am - 8:00pm
Fri: 7:00am - 7:00pm
Sat: 7:00am -3:00pm
Sun: Closed
San Tan Valley Smiles
480-888-2271
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    • Meet Dr. Bradley Pico
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Patient Forms

Our patient forms have been made available online for easy download. Please feel free to download the following forms and bring them with you on your first appointment.

New Patient Registration Form
Patient Health History
HIPAA Authorization
HIPAA Notice of Privacy Practices

San Tan Valley Smiles

270 E. Hunt Hwy Suite 14
San Tan Valley, AZ 85143
Call: 480-888-2271

Contact Us



  • Home
  • Meet Dr. Larson
  • Services
  • Cosmetic Dentistry
  • Dental Crowns & Bridges
  • Dental Implants
  • Dental Veneers
  • Dentures
  • Fastbraces
  • General & Family Dentistry
  • Invisalign
  • Restorative Dentistry
  • Root Canals
  • Sedation Dentistry
  • Teeth Whitening
  • Smile Gallery
  • Testimonials
  • Patient Forms
  • Privacy Policy
  • Contact Us
  • Accessibility
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