Patient Forms

Please click on the links below to access our new patient forms prior to your first visit. New patient forms must be printed, completed, and provided at your scheduled appointment. 


NOTE: Please contact the office to provide insurance information in order to inform of any copay due at appointment.


New Patient Form: Part 1 

New Patient Form: Part 2

Appointment request

Need an appointment with a dentist in Ferndale ? Requesting an appointment at our Ferndale, MI family and cosmetic dental office is now easier than ever. Fill out the form below and we'll contact you to find a time that fits your schedule. Start your journey towards a beautiful smile with us today!
Patient Name*
Phone Number*
Email Address
Are you a current patient?
Best time(s) to call?
Preferred Appt Date
Preferred Appt Time
Describe the nature of your appointment or any other comments