Lake Orion MI Dentist, Christine Saad, DDS, PC
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  Patient Forms

 

New Patient Forms Lake Orion, Oxford, Oakland TownshipThe Patient Forms are in Adobe Acrobat (PDF) format. If you do not have Acrobat Reader, get a free copy by clicking on the link below.

Adobe ReaderPlease print the Patient Forms, fill them out, and bring them with you for your appointment. Also, after reading the Notice of Privacy Practices, print the Acknowledgement form below, sign it, and bring it in, too.

For New Patients:

Adobe PDFPatient Registration (adult) (Acrobat PDF form)

Adobe PDFPatient Registration (child) (Acrobat PDF form)

Adobe PDFOffice Policy / HIPAA form (Acrobat PDF form)

Adobe PDFProtection from Discrimination (Acrobat PDF form)

For Existing Patients:

Adobe PDFMedical History Review (adult) (Acrobat PDF form)

Adobe PDFMedical History Review (child) (Acrobat PDF form)

*** For New and Existing Patients: ***

This office has now implemented a new policy of screening for sleep obstructed breathing that will apply to all new and existing patients. Consider saving yourself some time by clicking on the link below to fill out the the questionnaire.

© Copyright 2009- Dental WebSmith, Inc. and Christine M. Saad, DDS, PC. All rights reserved worldwide. Disclaimer: The information provided within is intended to help you better understand dental conditions and procedures. It is not meant to serve as delivery of medical or dental care. If you have specific questions or concerns, contact your health care provider.

Pictures of the staff/office taken by Gerri E. Milkovie. Contact Gerri at www.gemportraitart.com.

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