815 Kids Court
Lansing, Mi 48917
M - Thu

1234 Broomfield St. Ste 1
Mount Pleasant, MI

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New Patient Online Forms

For your convenience and to increase efficiency we now offer our new patient forms online.  All new patients must fill 
out a series of "New Patient Forms" consisting of general patient information, health history and a patient / doctor 
contract.  The forms are completely secure, so rest assured that your information will be safe.  If you have any 
questions or concerns about using online forms, please feel free to contact our staff at (517) 321-8280 
or dexterdental@webabyteeth.com.

(note: you can save your progress, allowing you to come back at a later time to finish the forms)