New Patient Forms

Klein Dentistry, Grandville MI

USE OUR SECURE-PRACTICE SYSTEM TO COMPLETE

NEW PATIENT INFORMATION

Clicking the button below will open a new browser window for our My Secure Practice forms for new patients.

Using this system, you can easily fill out the form right on your screen!

If you prefer to print a form and fill it out with a pen, click the button below, and then use download link in the top right corner to open a PDF form you can print at home. Complete the information and bring it with you to your first appointment.

Fill Out New Patient Form

Filling out the form online is easy and secure!

When you’re done, simply click the ‘Complete & Send’ button at the bottom, and your information will be sent directly to use, using encrypted technology to ensure your information is kept private and completely confidential.

If you prefer to print the form, click the Download icon in the very-top, right corner, print the form and use a pen to fill out the information. Please bring the completed form with you to your first appointment.

If you have any questions, please don’t hesitate to Contact Our Office.