Patient Forms

Please take a minute to print and fill out the patient information form before your first appointment:

  • Patient Form (Child) |
  • Patient Form (Adult) |
  • HIPAA/Privacy Notice PDF
  • We Support our Community |

If you’re unable to open PDF files, you can get Adobe Reader® for free.

Joshua J. Beeler, DDS
1951 S. White Mountain Rd.
Show Low, AZ 85901
(928) 537-7775
Schedule your Complimentary Consultation