New Patient – Pediatric & Orthodontic Dental Forms

Welcome to Pediatric Dental Center.  We are a pediatric dental practice in Warren, Michigan providing quality dental services for children from infancy through adolescence in Macomb County, Oakland County, and Wayne County, Michigan. We are committed to providing our patients with an excellent dental treatment and a positive experience.Pediatric Dental and Orthodontic Patients in Warren, Michigan

Once your child’s appointment has been scheduled, you will be instructed to bring the New Patient Form(s) listed below. Please click on the form, print and fill them out, and bring them with you for your child’s visit.

Pediatric New Patient Form

 Consent for Treatment Form

HIPAA Consent Form

Orthodontic New Patient Form