G-6221 West Pierson Road
Flushing, MI 48433
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On your first visit, we will ask you for personal data and health background information. This general information is designed to help us complete insurance forms or other correspondence. The health information provides a baseline history to aid us in providing quality dental care for you. Please keep us informed of any changes in your name, address, phone number, or insurance policies; and any changes in your general health or medications. Your personal information is always kept confidential. We follow the HIPPA guidelines which is now federal law.
We are an educated team of professionals dedicated to providing quality care in an efficient manner. We excel in a family-oriented, caring and enthusiastic atmosphere.
Please print and fill out these forms so we can expedite your first visit:
- General Information Form — (Microsoft Word Document, PDF)
- Personal Information Form — (Microsoft Word Document, PDF)
- General Information Form (Child) — (Microsoft Word Document, PDF)
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.
What To Expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.