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Store front Dental patient

“No waiting. Prompt friendly service. Everything was explained fully to help me make decisions about my future dental decisions.”

– Anonymous

To ensure your initial visit with Dr. Stephen L. Kim, our friendly dentist, is as efficient as possible, we have provided our patient forms online.


Simply click the link below to submit your patient forms online before your first visit. We are always excited to welcome new members to the Stephen L. Kim Family Dentistry family. If you would like more information about our patient forms, we invite you to call or visit our dental team at our Peoria, Arizona dental office today. We are here to help!

Patient information and resources

Patient forms

Download PDF Form Fill out online form

At Stephen L. Kim Family Dentistry, we are dedicated to helping you receive excellent dentistry at a great price. Our knowledgeable team has years of experience with helping our patients understand their financial options and receive the most benefits from their dental insurance. We currently accept most dental insurances and have full list of information available in our office.


We are contracted providers for:

  • Blue Cross/Blue Shield PPO

  • Cigna PPO

  • Delta (Premiere & PPO)

  • Principal PPO


For your convenience, we also accept cash, check, Visa, MasterCard, and CareCredit. CareCredit is a third-party financing company that offers 0% interest payment plans for those without insurance. For more information, see the link below.


If you have any questions about your financial options, and if you would like to learn more about our dental insurance plans, please do not hesitate to give our dental office in Peoria, Arizona a call. We look forward to working with you.

Financial options

  • Bite down on gauze with firm and constant pressure for 20-40 minutes. Some oozing is normal.  Change with clean gauze and repeat if bleeding persists. The extraction site can ooze for as long as 24 to 48 hours.

  • Don’t spit or suck on candies or through a straw.

  • Don’t rinse your mouth and brush.

  • Don’t smoke or use tobacco. Avoid smoking for at least 72 hours.

  • Try not to sneeze or cough so, have sinus or allergy medication handy if necessary.

  • Avoid from engaging in strenuous activities such as lifting or pushing heavy things.

  • Elevate your head when laying down.

  • Avoid alcoholic, hot, carbonated drinks and spicy foods.

Post-Op Instructions after teeth extractions

  • Start to eat normally as soon as it’s comfortable starting with soft foods such as soup, fish, mashed potato, ice cream, etc.

  • Resume brushing and flossing gently around the extraction sites.

  • Rinse with warm salt water to reduce swelling. Use about one teaspoon of salt per glass of warm water.  Rinse 2-3 times a day for about a week following the extraction

  • If antibiotics were prescribed, continue to take them until finished.

When to call us

It is normal to experience some discomfort for several days after a tooth extraction, but call us right away if you have:

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The First 24 hours

After the first 24 hours

  • Persistent or increased bleeding

  • Pain or swelling that increases or continues beyond 2 or 3 days

  • Allergic reactions to the medications