Patient Forms

New Patient Forms

Welcome to John Khoury Dental, your skilled, efficient, and compassionate dentist in Oxford, MI. We are happy to assist you with scheduling, insurance, or financial policies. We’ve simplified the process by providing online patient forms to provide a smooth and seamless visit to our dentist. By doing so, we’ll save time, and you’ll help us prepare. By doing this, we can reduce the time allocated for forms, allowing us to begin the consultation immediately.

We will use the information we gather to streamline the check-in process. In addition, we will have a thorough understanding of your dental health history so that our dentist can provide you with the best care possible.

Prepare for Your First Visit

Please complete and bring the following documents before your first visit, while others should be filled up online. 

New Patient Registration Form

Please complete this form with basic information such as your contact details, medical history, and insurance information.

Medical History Form

To provide you with the best dental care, we need a detailed medical history.

Insurance Information Form

If you use insurance for your treatment, this form will help us verify your benefits and streamline the billing process.

Consent to Treatment Form

It outlines your rights as a patient as well as authorizing Dr. John Khoury and his dental team to perform the necessary dental procedures.

Please find below our dental office brochure, patient information form, and medical history form for your first consultation.

We also offer general dentistry and reconstructive dentistry services. If you’re looking for a comprehensive line of dental services near you, John Khoury Dental is the ideal office. Let us help you achieve your dream smile. Call for an appointment at (248) 969-7645 or request an appointment online now!