Patient Forms - Battle Creek Family Dentist Dr David H long DDS

Call us : 269-968-4366
Call Today - Accepting New Patients

2545 Capital Avenue SW
Battle Creek, MI 49015

Driving Directions

Our Special Offers

img

Complimentary Consultation
Includes: Initial Assessment of dental needs, all required X-Rays, and advice on how to proceed - New Patients Only - a $169 Value! Must present Coupon at time of visit

Testimonials

COMING SOON!....

Coming Soon - AZ

Office Hours

Monday09:00AM-06:00PM
Tuesday09:00AM-06:00PM
Wednesday07:00AM-04:00PM
Thursday07:00AM-04:00PM

Patient Forms

You can save time by printing out these froms and filling them in for your first visit - thank you! We look forward to getting to know you and helping you create the smile you've always dreamed of.

Thank you!

1. Patient Registration Form
Patient Registration

2. Consent For Services Form
Consent Form

3. Financial Options Form
Financial Options

4. PreClinic Interview Form
PreClinic Interview