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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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  &   A N D R E A   H I S L O P,  D D S

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Patient Forms

Notice of Privacy Policy

Click here to download our notice of patient privacy. 

Authorization for Dental Services

Click here to download our dental services consent. 

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!

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