20259 Mack Ave., Grosse Pointe Woods, MI 48236 | Phone: 313.881.5890 | Fax: 313.881.4077 | reception@grossepointeortho.com

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Please submit the Healthy History Form prior to your complementary new patient exam. Be sure to include your dental insurance information so we can verify your orthodontic benefits.

New Patient Health History Form
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20259 Mack Ave., Grosse Pointe Woods, MI 48236 | Phone: 313.881.5890 | Fax: 313.881.4077 | reception@grossepointeortho.com

  • Home
  • Patient Info
  • About Us
  • FAQs
  • Contact Us