Birmingham Dentist

Birmingham Dentist

 
 

New Patient Forms

Save time! Download, print and fill out your new forms at home

For your convenience, please download each form, print it out and fill out at your leisure. Also it is important to remember to bring in any recent (less than two years) x-rays.

**Note, on the HIPPA form it is not necessary to print all 5 pages. Simply print and fill out the 5th page.

 

Please download Adobe Acrobat below to view/print forms:

 

Have a question? Ask the doctor!

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Security Code:

 

Home | | Before and After Photos | Cosmetic Dentistry | Composite Veneers | LUMINEERS® |
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Types of Implants | Health Concerns | Proper Maintenance | Mini Dental Implants | Cerec Crowns One Visit | Restorative Dentistry |
All-porcelain Crowns | Full-mouth Rehabilitation | Porcelain Bridges | Dentures | Sedation Dentistry | Who Benefits from Sedation Dentistry? |
What Is Oral Sedation Dentistry? | Step 1: Scheduling Your First Sedation Dentistry Appointment |
Step 2: Consultation with Our Sedation Dentist, Mitchell Milan | Step Three: Preparing for Your "Anxiety- free" Visit |
Step Four: Arriving for Treatment | Step Five: After Your Appointment | Step Six: The Next Day | Gum Disease | Bad Breath | Under Armour Mouth Wear |
Snap-on Smile | About the Practice | New Patient Forms | Our Blog | Testimonials | Meet Dr. Milan | Contact Us | Photo Gallery Before and After

Dr. Milan offers porcelain veneers and bridges to perform dramatic, Full-mouth Rehabilitation and instant orthodontics
at the Birmingham Center for Cosmetic Dentistry in Michigan. Results are amazing!

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