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303-452-4556
2921 W. 120th Ave Suite #210 | Westminster, CO, 80234
303-452-4556
2921 W. 120th Ave Suite #210
Westminster, CO 80234
  • About Us
    • Dr. Murphy
    • Dr. Schmidt
    • Dr. Jepsen
    • Team
  • Dental Services
    • Preventative Dentistry
    • Restorative Dentistry
      • Tooth Colored Fillings
      • Implants
      • Crowns
      • Dentures
      • Bridges
      • Night Guards
      • Extractions
    • Pediatric Dentistry
    • Cosmetic Dentistry
      • Veneers/Lumineers
      • Teeth Whitening
      • Botox
    • Sedation Dentistry
    • Dental Technology
  • Patient Resources
    • New Patient Forms
    • Our Office
    • Specials
    • Patient Portal
  • Blog
  • Smile Gallery
  • Invisalign
  • Identafi
  • Reviews
  • Schedule Now

Contact Us!

Looking to make an appointment? Click Here!!
  • About Us
    • Dr. Murphy
    • Dr. Schmidt
    • Dr. Jepsen
    • Team
  • Dental Services
    • Preventative Dentistry
    • Restorative Dentistry
      • Tooth Colored Fillings
      • Implants
      • Crowns
      • Dentures
      • Bridges
      • Night Guards
      • Extractions
    • Pediatric Dentistry
    • Cosmetic Dentistry
      • Veneers/Lumineers
      • Teeth Whitening
      • Botox
    • Sedation Dentistry
    • Dental Technology
  • Patient Resources
    • New Patient Forms
    • Our Office
    • Specials
    • Patient Portal
  • Blog
  • Smile Gallery
  • Invisalign
  • Identafi
  • Reviews
  • Schedule Now

Patient Forms

Posted May 20th, 2015 by Joe Baldwin.

Please be sure to print and fill out all of the forms below before your visit.

We look forward to seeing you.


Medical Information HIPAA Release

New Patient Health History

Office Financial Standard

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Find Us

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Jepsen Murphy and Associates

Reviews

  • Brenda Gurule

    “Before having Lumineers my teeth were so spaced and no matter what I did I could not keep them white….
    Read the Full Article

  • Markie Callaway, Thornton

    “I have been ashamed of my teeth my entire adult life. Dr. Jepsen and his staff changed this. He is…
    Read the Full Article

Practice Hours

  • Monday
    8:00am - 5:00pm

  • Tuesday
    9:00am - 6:00pm

  • Wednesday
    8:00am - 5:00pm

  • Thursday
    7:00am - 4:00pm

  • Friday
    7:00am - 2:00pm

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