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.

**For the New Patient and Health History Forms, please save the forms to your computer prior to filling them out. Once you have finished please click the grey button on the last page to email the form back to the office. Please call the office at (248) 549-0950 and ask for Kayleigh if you are having any difficultly filling the forms out

New Patient Paperwork

Health History Update

Financial Policy

Privacy Notice

Children’s Airway Paperwork

 

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