Fort Mohave Dental offers our patient form(s) online so they can be completed it in the convenience of your own home or office. Follow these easy three steps:
This lets us know the history and current state of your dental health. Download and print this form,then fill it out if you are coming in for general dentistry. It will speed up your first visit.New Patient
For TMJ problems download the TMJ scale and print and fill out and bring to your first visit..
For TMJ problems fill out the online questions for TMJ by clicking the TMJ Questions link. Then let us know when your done.
For Snoring/Sleep Apnea click on sleep questions 1 and fill out the questions then click on sleep questions 2 and fill out the questions then call and let us know your done.
For Periodontal treatment fill in the questions by clicking on the perio questions link.
Sign-up using the form or call us at 928-758-8887
to take advantage of
our exclusive offers
Meet the Dentists
At Fort Mohave Dental, each member of our dentistry team is hand-selected by Dr. Mark Collins and Dr. Qun Collins based upon his or her credentials, chair-side demeanor, and passion for providing the very best in personalized dental care.Read More
We strive to provide complete care for our patients. Learn more about all the services we provide.Read More
We will do our best to accommodate your busy schedule. Schedule an appointment today!Schedule Now