Please take a moment prior to your scheduled appointment in our Shelby Township family & cosmetic dental office to download our patient forms. We ask that you complete the forms and bring them with you to your appointment so we may better assist you in a timely manner. 

Your medical history will be completed upon arrival.  Please bring records you have of allergies, previous medical condtitions, previous surgical procedures with dates, and a list of your current medications along with the dosage taken. 

Thank you for your confidence in our dental office, we look forward to assisting you with all your dental needs.

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Welcome! New Patient Registration Form 

Childrens Dental/Medical History Form (New Patients)

HIPAA Patient Acknowledgement and Consent Form

 

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