New Patient Forms: Kids Smiles Pediatric Dentistry

New Pediatric Dental Patients in Shelby Township, MichiganOnce your child’s appointment has been scheduled, you will be instructed to bring the Patient Information Form, Consent for Treatment Form, and HIPAA Consent Form listed below. Please click on the forms, print and fill them out, and bring them with you for your child’s visit.

Patient Information Form

 

Consent for Treatment Form

 

HIPAA Consent Form