Patient
Forms

If you are a new patient to our office, the files linked below are our new patient forms that will need to be filled out in advance of checking in for your appointment. Please download, print, and fill them out completely. Bringing these completed forms to your appointment will allow us to attend to your needs more quickly. If your forms are not completed prior to checking in for your appointment, we may not be able to see you as scheduled.
Please call our office at 269-381-7770 if you have any questions. We look forward to meeting you!

New Patient & Welcome Instructions

Child Dental History Form

Consent to Proceed Form

Financial Policy

Dental History Form