Petrusha Family Dentistry

25908 Ford Road
Dearborn Heights, MI 48127
(313) 277-0050

Dr. Petrusha Dental

Welcome New Patients

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We would like to welcome you as a new patient in our practice. Exceeding your expectations is our top priority, so let us know how we can give you the relaxing, comfort-driven experience you have been missing in dentistry. We cannot wait to meet you!

Please bring these forms with you on your first visit, to expedite the speed of your appointment. Fill in each section completely, and do not hesitate to ask us if you have questions. We are here to help.

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    Patient Medical History Form

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    Patient Information Form

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    Smile Evaluation Form