If you are a new patient to our office, the attached files contain our New Patient forms. Please print the forms in each file below, complete them and bring them to your first appointment. This will allow us to attend to your dental needs more quickly than if you complete the forms on your arrival. Thank you and please call our office if you have any questions.
Medical History Form
Dental History Form
Discrimination Is Against The Law
COVID‐19 PANDEMIC ‐ PATIENT DISCLOSURES
COVID‐19 PANDEMIC NON-EMERGENCY
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Read what people are saying about us.
"Everyone is so friendly and kind! Your office is like no other... It is always a wonderful experience! Thank you!"
Mary Pat S.
"To Dr. Cicorelli, Thanks for insisting that we start over and get my permanent crowns right. My bite hasn't felt this natural or comfortable in years... My front teeth match for the first time in 41 years... Thanks for making that effort. I wish all professionals had your sense of pride in your work and commitment to your profession and patients.”
"Everyone is welcoming, friendly and professional. Go Wolverines!”. "Do I get any points for that Dr. C?"