REQUIRED NEW PATIENT FORMS
The following forms should be downloaded, filled out, and signed by all new patients.
- Registration Form
- Health History Form
- Consent Form
- Family Members and Friends Involved In Discussing Patient Care Form
OPTIONAL PATIENT FORMS
The following forms may be required, depending on your clinic or procedure. Please contact 734-763-6933 if you are unsure which forms are required.
- Authorization for Patient Records (Printable)
- CDC Consent for Student Care Form
- Pediatric Dentistry Standard Health Questionnaire
- Temporary Guardian consent form for minor patients
PATIENT INFORMATION AND PRIVACY
The following documents provide information relating to patient rights and the University's privacy policies. The documents do not require signature.