Patient Forms

Royal Oak and Birmingham, MI

For your convenience, our forms have been made available online. Please feel free to download the below PDFs below and bring them with you to your first visit.

New Patient Paperwork
Patient Health History Update
Medical and Dental History for Existing Patients
Financial Policy
Privacy Notice
The Lamberg Questionnaire
Privacy Practices Consent/ Limited Authorization & Release Form

Did we ask you to fill out forms for your sleep appointment? Please click the link below and follow the instructions. The forms will automatically be sent to our office securely.

Sleep Appointment Forms

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Dr. Nancy Hartrick, DDS
32609 Woodward Ave.
Royal Oak, MI 48073
Call: 248-549-0950
Fax: 248-549-1180