PATIENT FORMS

Lapeer Dental Centre now has new patient forms online. Fill out the form before you come for your appointment to save time!

Our office staff would be happy to assist you with the forms, please arrive 15 minutes before your appointment if you should need help.

WHAT DO YOU NEED?

New patients should fill out the first form “New Patient Information”

Exisiting patients can update their health history during their appointment.

Please note that you must have an existing appointment scheduled to view patient forms. If you need to schedule an appointment, you can do so by requesting an appointment online or contacting our office.

NEED YOUR RADIOGRAPHS SENT ELSEWHERE? 

We would be happy to send your x-rays to any office you would like. Please complete the release form found by clicking the button below. Once complete, you can email it to our office email at info@lapeerdentalcentre.com or fax it to us at 810-664-3580. 

PATIENT HIPAA DOCUMENTS

View our office HIPAA policies by clicking the button below. 

Call Now Button

COVID-19 UPDATE:

Following Governor Whitmer's Executive Order, our office will remain closed until April 6th. Please continue to visit our site and Facebook page for updates.

Statement: http://lapeerdentalcenter.net/wp-content/uploads/COVID19-Closingupdate.pdf

Facebook: https://www.facebook.com/lapeerdentalcentre

 

Last update 3/23/2020 at 4:09PM