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855-385-3663
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Please click on the 3 links below to download and complete our patient registration forms. Please bring the completed forms with your insurance card to your appointment. If you are unable to download and complete the forms prior to your appointment, please plan to arrive 10-15 minutes early so that you can complete them in our office.


New Patient Information Form
Medical/Dental History Form
Insurance & Financial Form
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Michigan Dental Specialists | 50 W Big Beaver Road, Suite 150 Bloomfield Hills, MI 48304 | 248-540-0120
Michigan Dental Specialists | 2335 Pontiac Lake Road Waterford, MI 48328 | 248-683-3356
Michigan Dental Specialists
50 W Big Beaver Road, Suite 150
Bloomfield Hills, MI 48304
248-540-0120
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  • Home
  • Contact Us
  • Meet Our Doctors
  • Oral Surgery Procedures
  • Periodontal Procedures
  • Patient Info
  • Social/Reviews
  • Refer a Friend
  • Home
  • Welcome
  • Contact Us
  • Call
  • Directions
  • Oral Surgery
  • Dental Implants
  • Periodontics
  • Patient Info
  • Meet Our Doctors
  • Social/Reviews
  • Refer a Friend
  • Request Appointment