Access our patient forms online to fill them out before your appointment with our dentist in Eden, Utah. This will save you time and help you meet with Dr. Chad Wagstaff more quickly when you come in to Zimbi Dental. Give us a call today at 801-745-1100 if you have any questions.

Zimbi Dental New Patient Forms
Insurance and Financial Policy
Election to Self Pay Form
Hippa Notice of Privacy Practice

Adult Forms:
Adult Consent Form
Adult Medical History Form

Children Forms:
Child Consent Form
Child Medical History Form

Zimbi Sleep Forms
Adult Sleep New Patient Questionnaire
Child Sleep New Patient Questionnaire

Get Directions
Zimbi Dental