Patient Privacy Agreement

Click here to download our privacy agreement.

Informed Consent

Click here to download our consent for treatment.

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Our Easy-pay Consent

Click here to download our Easy-pay consent.

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             Questions?   Call (248) 932-9243

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Authorization for Dental Services

Click here to download our dental services consent. 

Notice of Privacy Policy

Click here to download our notice of patient privacy. 

H E A L T H Y   S M I L E S   F O R   A   L I F E T I M E

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M A R Y  F I S H E R,  D D S 

Patient Forms

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We always welcome new patients into our practice.  We kindly ask you prepare and either email, fax or mail the below forms prior to treatment. Please contact us with any questions!