3299 Clear Vista CT NE STE B,
Grand Rapids, MI 49525
(616) 608-6826
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Patient Forms

Online Forms

To save time during the first appointment at our pediatric dental office in Grand Rapids, you can fill out patient forms for your child online. 

New Patients:
Please complete all 6 forms. Three of these forms (medical history, dental history and patient information) can be completed and submitted online. The remaining three forms please download and print at home. Please bring a signed copy with you to the office on the day of your appointment. A parent or legal guardian is required to be present at your child’s first visit to our office.

Recall patients:
We like to update our patients medical history every 6 months. Prior to your child's appointment, please complete the medical history form and submit it electronically.


Download Forms

Please download and print the forms below, and bring them to the office with you on your first visit.
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ABOUT:

OFFICE INFO:

TREATMENTS:







Hamilton Pediatric Dentistry P.C. - Veronica Hamilton, DDS
3299 Clear Vista CT NE STE B Grand Rapids MI 49525
Phone: (616) 608-6826