(602) 899-2154
Patient Center

New Patient Forms

Preparing for your first appointment

If you are a new patient, welcome to our office! We will do everything we can to make your experience here the best it can be.

The office of Jason J. Augustine D.D.S., M.S., P.C. is dedicated to the highest quality of Periodontal care in a relaxed and pleasant environment. If you are a new patient, welcome to our office! We will do everything we can to make your experience here the best it can be.

Please download and print our new patient forms and bring them completed to your first appointment.

We accept most major insurance programs.

Accepted Insurance List

Ready To Schedule A Consult?

4025 W. Bell Road Suite #4
Phoenix, AZ 85053
» Get Directions

New Patients: (602) 899-2154
Existing Patients: (602) 978-6910
Fax: 602-978-6920

Get In Touch

Dr. Jason J. Augustine
5 Stars - Based on 12 User Reviews

Dr Jason Augustine - Phoenix Periodontist - Logo

COVID-19 Update - by Appointment Only

During COVID-19, Dr Jason J. Augustine's office is available by appointment only to treat our patients with emergency situations. We are monitoring and screening all patients and staff for symptoms and travel history in the office. We are following CDC and Arizona guidelines to keep our patients, staff, and office safe. We are fortunate to operate in a clinic that allows us to provide surgical services in a controlled environment.

To schedule an emergency appointment, please call us at 800-937-5769.

(posted 3/24/2020- will be updated if conditions evolve).