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)
Adobe Acrobat document [118.4 KB]
Adobe Acrobat document [111.0 KB]
Adobe Acrobat document [106.7 KB]
Privacy Notice (HIPPA)
Please read over and sign our Notice of Privacy Practices, acknowledging our privacy policy. This form should also be brought to your first appointment.
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.
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