Patient Forms
Keeping Paperwork Convenient
We want to keep your experience with us convenient and comfortable, and as part of that promise, we offer printable patient forms. Simply print and fill out these forms; then bring them along when you come for your first appointment.
- Patient Registration Form
- Patient Health History Questionnaire
- Children’s Dental & Medical History Form
- Patient Privacy Information Form
- Implant Referral Form
- Endodontic Referral Form
- Credit Policy & Patient Responsibility Form
- Appointment Cancellation/Missed Appointment Patient Responsibility Form
If you have any questions or comments, please give us a call at 218-326-3437.
This website uses files in Adobe Acrobat Portable Document Format (pdf) and requires Adobe Acrobat Reader for viewing and printing. It is available free for download.
Click here to download for PC or Mac.Post-Op Instructions
We have gathered the post-operative instructions for some commonly performed dental procedures for your review here.
PLEASE NOTE: The information contained herein is intended for educational purposes only. It is not intended and should not be construed as the delivery of dental/medical care and is not a substitute for personal hands on dental/medical attention, diagnosis or treatment. Persons requiring diagnosis, treatment, or with specific questions are urged to contact your family dental/health care provider for appropriate care.
“I recommend Miskovich Dental to everyone I know. I always feel well cared for by their entire team, from the office staff to the doctors and assistants alike.”
– Dave B., Grand Rapids