Our Easy-pay Consent

Click here to download our Easy-pay consent.

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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 

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             Questions?   Call (248) 932-9243

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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!

Patient Forms

Authorization for Dental Services

Click here to download our dental services consent. 

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Informed Consent

Click here to download our consent for treatment.

Patient Privacy Agreement

Click here to download our privacy agreement.

Notice of Privacy Policy

Click here to download our notice of patient privacy.