Call: (480) 306-8510

Patient Forms

 Michael L. Bleeker, DMD Fill Out Our Patient Forms Before Your Appointment

Contact Our Dentist in Scottsdale for More Details

The first visit to our Scottsdale dental office is designed to get you better acquainted with all that we offer as well as introduce you to Dr. Bleeker and our caring staff. We encourage your questions and always committed to delivering quality care. This is proven by our accolades, as Dr. Bleeker was listed in Phoenix Magazine’s Top Dentists of 2012, 2013, 2014 and 2015.

Please take a moment prior to your scheduled appointment to download our patient health history. We ask that you complete the form and bring it with you to your appointment so we may better assist you in a timely manner. Thank you for your confidence in our office, we look forward to assisting you with all your dental needs.




Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.


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