Patient Forms

Prepare for Your First Appointment

New patients are always welcome at Village Family Dental. For your convenience, we have evening business hours available on Mondays and Wednesdays. Most insurances are accepted, and CareCredit is welcome. If you have any urgent questions or comments, please call us at 517-456-9972.
Close up of boy having his teeth examined by a dentist

Are You a New Patient?

If you would like to get a head start on paperwork before arriving at the office, please complete our Patient forms below.
New Patient Form 1 New Patient Form 2 Patient Responsibility Notice of Privacy Consent Form
Call us today for a 
FREE consultation!
Village Family Dental can provide same day emergency services depending on your requirements.
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