New Patient Forms

Child Dental and Health History
(Click above to download the file.)

Dental Health History
(Click above to download the file.)

Patient Registration
(Click above to download the file.)

X-RAY Release Form
(Click above to download the file.)

General Consent
(Click above to download the file.)

HIPAA Consent Form
(Click above to download the file.)

Privacy Practices HIPAA
(Click above to download the file.)

Financial Policy
(Click above to download the file.)

Contact Us Today!

We look forward to hearing from you.

Our Location

49 E Main Street | Milan, MI 48160

Office Hours

Our General Schedule

Monday:

9:00 am-4:00 pm

Tuesday:

2:00 pm-8:00 pm

Wednesday:

9:00 am-5:00 pm

Thursday:

9:00 am-4:00 pm

Friday:

9:00 am-2:00 pm

Saturday:

Closed

Sunday:

Closed