Downloads

Children

   Tooth fairy tooth chart

Dental Whitening

    Custom Tray Whitening Consent

    In Office Laser Whitening Consent

   Custom Tray Whitening Instructions and Post Treatment

    Whitening Post Treatment Instructions

 Implant placement

    Informed Consent

Extractions

    Post Treatment Instructions    

 Facts regarding the Mouth - Body Connection

    Mouth - Body

New Patient Information - This packet may be printed, completed and returned by email or faxed to 616-361-1811.

     Welcome 

     Health History

     Medications

     Handle Me with Care

     Photo Release

     Financial Agreement

     Consent for Use and Disclosure of Health Information 

HIPAA 

    Consent for Use and Disclosure of Health Information 

    Notice of Privacy Practices

    Marketing HIPAA Form

Dental Insurance

   The Lowdown on Insurance