Cosmetic Dentist in Ferndale Provides Patient Forms Online

Please click on the link below to access our new patient forms. New patient forms must be completed online prior to your scheduled appointment. 

 

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

 

NOTE: There are two separate forms to complete

 

Click here for both New Patient Forms

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
Message
Describe the nature of your appointment or any other comments