Caring for
West Michigan Families
Since 1979
CALL US (616) 364-9348
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NEW PATIENT FORMS

If you are a new patient to our office, the attached file contains our new patient forms that will need to be filled out when you arrive at our office.  Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival.  Thank you and please call our office if you have any questions at all.  (Please click the "patient forms" link below to open the forms)

As a new patient, your first appointment will consist of an initial comprehensive exam, bitewing x-rays, and a panoramic film performed by our dental professionals.  If you are diagnosed with a healthy mouth, you will then be scheduled for a cleaning.  

Adult Registration Forms

Children's Registration Forms

Consent for Treatment Form

Privacy Practices Policy

HIPAA Form

Dental & Medical History Forms

This web site uses files in Adobe Acrobat Portable Document Format  (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.


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