Patient Forms, Map and Directions to Tucson Office
Your first visit to the practice of Thomas Q. Buza, D.D.S. establishes a vital foundation for our relationship with you, our patient. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. To understand what to expect for your first visit to our practice, please read through this page. You’ll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There’s also background information about our committed staff and our first visit procedures. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment.
With all the knowledge, technology, and skill we have been blessed with we have a responsibility to our patients to do our best everyday in giving excellent comprehensive dental care. Each patient deserves the right, dignity and freedom to choose how healthy they desire to be.
Payment is due when services are rendered unless prior arrangements in writing. For your convenience we accept all major credit cards. Please call us to discuss possible insurance coverage.
Fees quoted are good for 90 days and don’t cover any unforseen or unexpected dental conditions that may arise.
Please click the link below to view our forms electronically:
If the above link is unavailable, please complete these PDF forms so we can expedite your first visit:
- Patient Registration
- Release of Records Request
- Payment Agreement
- Notice of Privacy Practices
- Acknowledgement of Receipt of Notice of Privacy Practices
In order to view or print these forms you will need Adobe Acrobat Reader installed.
Click here to download it.
What to expect
Being well-prepared for your appointment will ensure that the doctors have all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.