Patient Forms

New patient? Please download and fill out the following forms when you come in for your first appointment.

Patient Medical History Form/Privacy Notice

These forms are mandatory for all new patients. To expedite your visit, print these forms and fill them out at home.  Please bring all four (4) them with you to your first visit..

Medical History Forms (3)

Adult New Patient Paperwork
Adult New Patient Paperwork.pdf
Adobe Acrobat document [213.7 KB]
17 & Under New Patient Paperwork
17 Under New Patient Paperwork.pdf
Adobe Acrobat document [213.9 KB]

Make an Appointment Today!

24 hour emergencey contact info is as follows: 

James J. Fehrman, D.D.S.   810. 577. 9673

James H. Ford, D.M.D.      810. 931. 5973

24 hour Emergency Contact 

Keep Your Teeth Healthy!

Preventive care is the best way to keep your teeth healthy.  Brushing for two minutes twice a day and flossing will make your next dental visit easier and more pleasant.  

Get Social With Us

Print Print | Sitemap
Hilltop Dentists, P.C.