New Patient Forms

We appreciate your time and want to make your first visit with us as comfortable and efficient as we can. Please download the forms below, or click here for all the forms, complete them in ink, and bring them with you to expedite your first visit.  Also bring your dental insurance card (if applicable) and your driver’s license.

If you have any questions or concerns, do not hesitate to ask for assistance at 586.574.3050.  We will be happy to help.

If you would like to know about our privacy practices, save the following document to your computer for reference. You do not need to bring it to your first appointment.

For your convenience we have provided these forms as Adobe Acrobat PDFs. If you currently do not have Adobe’s Acrobat Reader you may download it for free here.

Please take a minute to read the Privacy Notice and fill out the Health History and New Patient Form before your first appointment.  You will sign these forms at the office on your first visit:

Health History and New Patient Form
Privacy Notice

If you’re unable to open PDF files, you can get Adobe Reader® for free.