Visit Any of Our Family Dental Offices Phone: (520) 723-0655 3385 N Hunt Highway, Ste 127 Florence, AZ 85132

New Patient Forms

We have made our new patient forms available to you as Adobe Acrobat files. For your convenience, we recommend printing and completing these forms at home.

Please remember to bring your completed forms with you for your first appointment. If you have any problem getting these files to print properly, please call our Florence, AZ dental office and we will gladly send or fax them to you.

New Patient Forms

Financial Information

Quality Care at Affordable Prices

You deserve a beautiful, healthy smile, and we don't want cost to stand in the way. At Merrill Ranch Family Dental, we provide advanced dental care at fees that won't break your budget. To help you pay for your dental work, we accept a variety of payment methods and dental insurance plans and also offer third-party financing. We're sure to have a plan that's right for you!

Payment MethodsAccepted

Insurance Information

We electronically file all insurance claims. Our front-office team works closely with insurance companies to maximize patient benefits and ensure speedy processing.

Our dentists are preferred providers for:


We're pleased to offer third-party financing through CareCredit.These leaders in patient financing offer interest-deferred and low-interest options for qualified applicants, as well as payment plans to suit almost every budget. Check out the CareCredit website for details and to complete an application online.

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