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Patient Forms

To prepare for your visit to Young Family Dental, we invite you to complete the appropriate patient form below in advance if possible. By completing these forms prior to your visit, you can save time at your appointment. If you have any questions or need assistance, please do not hesitate to call one of our four local offices. Our friendly staff will happily assist you with any of the forms or aspects of our affordable dental care!

SAVE TIME & CHECK IN ONLINE

Orem
American Fork
Saratoga Springs
Riverton
West jordan

Adult Patient

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Adult Patient – Spanish

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Child Patient

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Child Patient – Spanish

Form

Financing Options

At Young Family Dental, we strive to offer high-quality affordable dental services to care for our patients and their family’s needs while also helping the costs fit into their budgets. We accept most dental insurance plans, and we will gladly submit insurance claims on behalf of any of our patients.

No insurance? No problem! For anyone in need of affordable dental care without insurance or dental offices with payment plans, we have customer-friendly solutions to help accommodate all of our patient’s needs. Cleanings and exams are highly important for health purposes every six months to inevitably lessen the risk for future problems in teeth and gums that could ultimately result in discomfort and higher costs. As valuable as oral health is to everyone’s well-being and happiness, our services are provided at affordable dental prices, and in some cases, even below the average amounts. Please contact us to work out a payment solution for your oral health and take advantage of our affordable dental care.

We accept the following forms of payment:
Cash
Visa
MasterCard
American Express
Discover
Care Credit
Payment plans

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Financing Available

prosper logo

Young Family Dental has teamed up with Prosper Healthcare Lending to offer affordable monthly payments to our patients. Please click the image below for more information.
Prosper Healthcare Lending is the premier financing company in the healthcare industry. With over $5 Billion borrowed and over 250,000 people empowered, this is a name and a program you can trust.

Here are some of the benefits you’ll receive with a loan from Prosper Healthcare Lending:

  • Immediate decisions without affecting your credit!
  • Longer terms for lower monthly payments
  • No collateral required
  • No prepayment penalties
  • Fast & easy loan inquiry process
  • 100% Confidential
SUBMIT A LOAN INQUIRY
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CareCredit can help your family afford comprehensive dentistry by providing no- and low-interest financing plans. If you have any questions regarding dental insurance or other payment options, we encourage you to contact one of our four convenient Utah locations in Orem, American Fork, Saratoga Springs, and Riverton.

SUBMIT A LOAN INQUIRY

  • “These guys are awesome! I had a tooth break on a Friday afternoon and they got me in right away! I’ve since seen 3 different dentists there and have no complaints. The office staff is incredible and friendly. I still am not a huge fan of going to the dentist, but this office has really helped alleviate my fears and dental anxiety. I would recommend them to anyone.”

    Ashleigh Jackson

  • I’ve known Dr. Chris for over 10 years, and my experience with him has been awesome. I got Invisalign with him to straighten my teeth, and it was incredible to have straight teeth! It was great, too, that I was an adult and I didn’t have to walk around with braces like a teenage weirdo. Chris and YFD are excellent, I highly recommend them.

    Johnny Thomas

  • Anne Marie Gross referred me to your office and has had nothing but great things to say about you! I am looking forward to scheduling an appointment soon!

    Rashael Stocking Matthews

  • Deron Gross- when I went to young family dental they treated me very nicely and took great care of me:) appreciate all the work they’ve done:)

    Deron Deron

  • I took both my 8 year old and 3 year old daughters there, and it was great experience from beginning to end. It was the first time for my 3 year old (don’t judge me ?) Jacqueline was great at making it a fun experience for her. Jessica helped take care of my 8 year old who had some infection on a tooth she had worked on a while ago. And the dentist was great too. Overall, everyone was friendly, everything was clean, and at the end I had a credit on my account that I didn’t know was there which was an added bonus.

    Jessica Murdock

  • Young Family Dental Riverton employs the latest technology and procedures. The staff is always friendly and make you feel comfortable.

    Chanel Price

  • Everything they do is on time and as scheduled. They send you reminders for your appointments. They are great. My entire family goes to Young Family Dental Riverton.

    Astony Stino

  • I love young family dental! Their assistants are great and make me feel comfortable which is important to me because I don’t like going to the dentist. The dentists are very informative and make me feel at ease as well. They take extra time and care to make sure you fully understand what is being done and what needs to be done. If you need a check up, a cleaning, or work done stop or call young family in Riverton Utah, they are great!!

    James Ross

  • I love working here.. The dentists, hygienists, and assistants are awesome!!!

    Orchid Lopez-Zamarron

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