New Patient Forms

Save time waiting in our office by filling out necessary forms online.  To do so, click the appropriate link below.  If you cannot do this online, you may print the forms below the links.  Feel free to give us a call if you have any questions.

Adult New Patient

Child New Patient

If you have difficulty using our website, please email us or call us at (989) 686-9600
View the ADA Accessibility Statement
*We are back open for normal treatment.  If you missed a cleaning, we will be calling you to reschedule.  Be patient with us, as we have a long list to work through, but, be assured that we will get you the care you need.  After hours, you may still call 989-545-1670 to leave a message if you have an emergency.  We are also the new home for patients of Dr. Holbein and are excited to have you become part of our patient family. 
Be aware, we are wearing more protective gear than in the past, the office will be a cooler temperature, it may be prudent to wear warmer clothes when visiting us than in the past.