• Procedures
    • Dental Implants
    • Wisdom Teeth
    • Teeth-In-An-Hour™
    • Bone Grafting
    • Soft Tissue Grafting
    • Corrective Jaw Surgery
    • Facial Trauma
    • Cleft Lip & Palate
    • Distraction Osteogenesis
    • Biopsy for Oral Pathology
    • Pre-Prosthetic Surgery
    • TMJ Disorders
    • Sleep Apnea
    • Platelet Rich Plasma
  • Surgeons & Team
    • Steven E. Christensen, DDS
    • Bryan S. Christensen, DMD
  • Schedule Appointment
  • Payment Portal
  • (801) 269-1110
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Contact Us

(801) 269-1110

[email protected]

6243 S. Redwood Road, Suite 100

Salt Lake City, UT 84123

Medical History

  • Although dental personnel primarily treat the area in & around your mouth, your mouth is a part of your entire body. Health problems that you may have, or medication you may be taking, could have an important interrelationship with the dentistry you will receive. Thank you for answering the following questions.
  • I am the patient or parent/legal guardian authorized to provide the information requested. To the best of my knowledge, the questions on this form have been accurately and completely answered. I understand that providing incorrect information can be dangerous to my (or patient’s) health. It is my responsibility to inform the dental office of any changes that may occur in my medical status. I understand that payment for professional services are my sole responsibility and are due as services are rendered. Non-payment for services may result in additional collection fees. We do not render services on the basis that insurance companies will pay our fees, but we will be happy to assist you in filing claims for your insurance reimbursement. I authorize Dr. Christensen to diagnose and provide dental treatment for myself (or patient) including any necessary x-rays or photographs.
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About Us

  • Bryan S. Christensen, DMD
  • Steven E. Christensen, DDS
  • Procedures
  • Schedule Appointment
  • Medical History

Areas Served

  • West Valley
  • West Jordan
  • Murray
Utah Oral Surgery & Dental Implant Center