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We thank you for selecting us to serve your dental needs. Our entire staff is a team dedicated to providing the highest quality dental care and service to our patients.

So that we may better serve you, we ask all new patients to take a few minutes and complete the health history form prior to your appointment. By clicking the links below, PDF forms can be downloaded to your computer, and printed at your convenience. After completing these forms, you may fax them to our office or bring them with you to your appointment. This will expedite your wait time and allow us to spend more time attending to your dental needs.

If you have any questions, please do not hesitate to direct your concerns to our receptionists.

Health History - pg 1
Health History - pg 2
Patient Acknowledgement & Consent Form 
Notice of Privacy Practices - pg 1 
Notice of Privacy Practices - pg 2 


These forms require Adobe Acrobat Reader to view.  If you do not have Acrobat Reader on your computer, click below for a free download.

5123 W St Joseph Hwy, Suite 101  •  Lansing, MI  48917  •  (517) 321-4254 phone   •  (517) 321-0729 fax