Are you new to our dental practice? Welcome! To get started, we will need you to fill out these quick new patient forms. Their completion will inform our dentist and staff of your dental and medical history as well as what your biggest concerns are regarding your smile. It is preferable if these forms are filled out prior to your first appointment.

Patient First Dentsit Inwashington Mi

If you have any questions or concerns regarding the forms, please feel free to reach out to our office. Call Washington Family Dental at (586) 752-4545 today or contact us online.

Patient Registration

Download Patient Registration Form →

Medical History

Download Medical History Form →

Notice of Privacy Practices

Download Notice of Privacy Practices →

Consent for Dental Procedures

Download Consent Form →

Acknowledgement of Privacy Practices

Download Acknowledgement of Privacy Practices Form →

Authorization to Release Information

Download Authorization Form →