Dental Forms

Health History/New Patient Questionnaire

If you are a new patient, please complete the Health History/New Patient Questionnaire and bring it to your first appointment.

Download Health History form here

Dr. David J Coates - South Jordan Dentist

2651 W South Jordan Pkwy #203 South Jordan, UT 84095 801-254-5553

Hour of Operation

Monday 8:00AM – 5:00PM
Tuesday 9:00AM – 6:00PM
Wednesday 8:00AM – 5:00PM
Thursday 7:00AM – 2:00PM
Saturday Closed
Sunday Closed

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