Patient Forms
For your convenience we have provided patient documents as Adobe Acrobat files for you print and fill out at home. If you can't print them or have any questions call our office at (810) 230-8477, and we will fax or mail a copy to you. Remember to bring your completed forms to your first visit.

Patient Health History


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What will happen at your first visit?
Your first visit will begin with a comprehensive exam and diagnosis. Before you and your doctor can develop a treatment plan, your current oral health must be evaluated and a baseline must be established. The following will be done during your initial exam:
1. Review your medical and dental history
2. Clarify your concerns, desires and expectations.
3. Oral cancer exam
4. Tooth examination
5. Digital photographs to evaluate gums, teeth and esthetics
6. Full series of x-rays (20 views) or panoramic x-ray with bitewings
7. Measure around gums to check for disease.
8. Measure mobility of teeth.
9. TMJ (jaw joint) assessment
10. Occlusal (bite) examination

Following the exam your doctor will review all findings, make a specific diagnosis, discuss treatment options/recommendations and treatment plan, develop a written report of treatment sequence and cost. Your doctor will consult with specialists if necessary and answer any questions you might have.

 

 

What is Care Credit?
It is a no cost, no interest (depending on the terms selected), or low interest credit card that can be used by any member of the family. As long as the minimum monthly payment is made on time and the entire loan is paid off in the time allotted, there is no interest. If the terms are not adhered to the interest goes to 11.90%. Check out this website: CareCredit.com These cards can also be used at participating Optometrists, Vetrinarians, Hearing aid centers, and Physcians. The program is run by GE Bank.

 

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