accessibility ACCESSIBILITY
Your Smile
Richard J. Baker, D.D.S., P.C.
Call: (248) 623-7722

Patient Forms

Patient Forms for your visit to our

Waterford MI Dentist

If you are a new patient to our office, the attached files contain information that will need to be filled out when you arrive at our office.  Bringing them with you to your first appointment will allow us to attend to your dental needs more quickly.  Thank you and please call our office if you have any questions at all.


Patient Information Form

Dental Acquaintance Form

HIPAA Form

 

Download Adobe Reader This web site uses files in Adobe Acrobat Portable Document Format Download Adobe Reader (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

Your Smile
3485 Airport Road Waterford, MI 48329
Phone: (248) 623-7722 URL of Map