Family Dentistry

New Patient Forms

Save time waiting in our office by filling out necessary forms online. Feel free to give us a call if you have any questions.

Patient Registration Form

Dental & Medical Health History

Notice of Privacy Practices

Patient Acknowledgement & Consent

Have Questions? Get in Touch
If you have difficulty using our website, please email us or call us at (248) 399-8100
View the ADA Accessibility Statement
COVID-19 ALERT:
Dear patients,

We are happy to say our office is open! If you would like to schedule an appointment or if you have any questions, please don't hesitate to call us at (248) 399-8100.

We encourage you to review the details of our multifaceted COVID-19 Safety Plan.

Stay safe!

Sincerely,
Dr. Chalasani