New Patient Information

Kelly Jorn Cook, DDS is accepting new patients.  It is with sincere gratitude that we thank you for choosing our practice. To expedite your first visit, we have our New Patient Form below. After you have made your first appointment, you may fill out the New Patient Form and e-mail it to us, or print it and mail it to us. If you have not made your first appointment, please call us at 480-899-4477 and we'll get you scheduled.

Doc Kelly and his staff are here to serve you and we will do everything we can to earn your continued confidence. Please feel free to call us whenever we may be of assistance.

Online Patient Forms:

Hard-copy - New Patient Forms:

Alternatively, you may download New Patient Forms, print and bring them with you.

(You will need Acrobat Reader to view these forms)

Dental Insurance - Dental Financing

Kelly Jorn Cook, DDS accepts most dental insurance plans.

No dental insurance? For your convenience we offer two in-house financing programs through Care Credit care credit

Dental Services Payments

American Express, cash, checks, Discover, MasterCard, Visa American Express, cash, checks, Discover, MasterCard, Visa

We accept cash, checks, Paypal, Visa, America Express, MasterCard and Discover. Our goal is to remove financial barriers so that all of our patients, regardless of age, income, and dental needs, can afford the dental treatment they desire.

Please call us with any questions you may have.

Office: (480) 899-4477 | Map: