Dental Patient Forms
and Instructions

We’ll need the information on the NEW PATIENT INFORMATION form below prior to getting started. Please download that form, complete it and bring it to your first visit. If you are not able to complete it prior to your first visit, please arrive 10 minutes before your scheduled appointment.

The forms are PDFs and require you have Adobe Reader to open them. (Nearly all computers have this. If you cannot open the form, you can download it here: Adobe Reader.)

Patient Registration and
Medical Questionnaire
Notice of
Privacy Practices
Office Financial
CBCT Consent Form
HIPAA Authorization Form
  Schedule an appointment today (248) 547-3700