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

     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

Dr. DeMille and Dr. MacKay

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 oral health goals through advanced technology, innovative techniques, and comprehensive on-site care. Our dentists are affiliated with:

  • American Dental Association
  • Utah Dental Association
  • International Congress of Oral Implantologists
  • American Academy of Facial Esthetics

To schedule an appointment serving West Valley City, UT area, contact us online or call West Valley City: (801) 969-3025

Contact Us Today

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