Burton Family Dentistry
  • Phone Number: 810-744-2982
  • Email Address: smile@burtonfamilydentist.com
  • Our Location:
    1481 S Center Rd., Burton, MI 48509
  • facebook
  • twitter
  • instagram
Menu
Burton Family Dentistry
Close
  • Home    
  • About Us    
    • Our Doctors    
    • Our Staff    
    • Our Office    
    • Blog    
  • Dental Services    
    • Cosmetic Dentistry    
    • Root Canal    
    • Gum Treatment    
    • Oral Hygiene    
    • Dentures    
    • Veneers    
    • Crowns and Bridges    
    • Composite Fillings    
    • Invisalign    
    • Teeth Whitening    
    • Dental Implants    
    • TMJ Treatment    
    • Teeth Sealants    
  • Patient Resources    
    • Education    
    • New Patient Forms    
    • Care Credit    
    • Smile Club Discount Plan    
    • Current Offers    
  • Contact Us    
two dentists discussing work together

New Patient Forms

Pediatric Dentistry in Burton, Michigan

Home ยป New Patient Forms

Please provide the following information in the form:

  • New Patient Form
  • Treatment consent
  • Health History Form
  • Cancellation Policy
  • HIPPA Notice of Privacy Practices
  • Consent to Bill Insurance

    Get in Touch Contact Information

    Contact us through the following:

    • Phone Number: 810-744-2982
    • Email Address: smile@burtonfamilydentist.com
    • Our Location:
      1481 S Center Rd. Burton, MI 48509
    • Office Hours:

      Monday: 9:00AM - 6:00PM Tuesday: 9:00AM - 6:00PM Wednesday: 8:00AM - 1:00PM Thursday: 9:00AM - 6:00PM Friday: Closed Saturday: Open every second Saturday of the month (9:00am-1:00pm) (September - May only) Sunday: Closed
    • Home
    • About Us
    • Dental Services
    • Patient Resources
    • Contact Us
    Burton Family Dentistry © Copyright 2025 Privacy Policy Designed by Proweaver