Comfort Family Dental

Patient Forms

Richard M. Schwarcz, DDS ■ 25529 Van Dyke Ave. ■ Center Line, MI 48015 ■ 586-757-3373

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Patient Forms

Please take a minute to print and fill out the patient information form before your first appointment:

» HIPPA Form [PDF] | [DOC]

» ADA Health History Form [PDF]

» ADA Child Health History Form [PDF]

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