All the Patient Forms
You Need for Your Visit to Dr. Jerry Maymi
For a more convenient visit to our South Jordan, Utah dental practice, we invite you to print out the following patient forms. Please bring the completed forms to your first appointment with Dr. Maymi.
Patient Information Sheet
Medical and Dental History
General Dental Treatment Consent Form
COVID-19 Pandemic
Consent To Proceed
Office Financial Policies And Federal
Truth-In-Lending Statement
Financial Policy
Completing these forms before your appointment ensures that you spend more time focusing on your oral health and less time with paperwork. Please contact our office if you have any questions about these patient forms.
Make an Appointment
If you need high quality dental services, contact us!
Сall at (801) 253-7553 to schedule an appointment.
You can also use our online contact form to request an appointment.
Our Advantages
Complete Care on Your Schedule
Bringing Life to Your Smile
Experienced Dentist
With over 25 years of experience, You can rest assure you will receive the most professional treatment at Dr. Jerry F. Maymi and Associates.
Advance Treatment
From fillings to implants to teeth whitening and more, at Dr. Jerry F. Maymi and Associates we have the experience and equipment to provide you with the best treatment.
Guaranteed Results
No matter what type of dental service you need, you can trust Dr. Maymi will give the results you are looking for.
Modern Equipment
Using the most advanced equipment and techniques, Our dental team is always committed in giving you the perfect smile.
New Patient
We are committed to your satisfaction and invite you to call our South Jordan, Utah dental practice today to learn more about the restorative, cosmetic, and preventive treatments we provide to improve your oral health and restore your smile.