Patient Resources

New Patients, please print and complete the New Patient and HIPAA forms and bring them to your first appointment. This will speed up the process and improve you dental experience. Thank you!

 Patient Forms 

     New Patient Form 

     New Patient Form - Spanish

     HIPAA

     Medical History Form 

     Truth in Lending Form

     Assignment of Benefits      

     Consent to Proceed Form

Patient Education  

Orthodontics Home Care  

Financing  

  Mountain America Credit Union 

Save time and schedule your next appointment online

DeMille MacKay Dental

DeMille MacKay Dental

At DeMille MacKay Dental, we are committed to offering state-of-the-art treatments for patients of all ages. We can help you achieve your cosmetic and oral health goals through advanced technology, innovative techniques, and comprehensive on-site care. Our dentists are affiliated with the:

To schedule an appointment, contact us online or call our West Valley City office at (801) 969-3025.

Contact Us Today

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