Dentist Franklin Patient Information

Michelle Lamers, DDS provides quality family dental services to patients of all ages. Our friendly staff and prompt appointments are here to make your dental visit as comfortable and convenient as possible.

 

Below is some information and forms for new and returning patients. We welcome you to call us with any questions about setting up an appointment, or regarding the forms contained on this page. Please feel free to print these forms at your convenience and bring them in at the time of your appointment.

 

IMPORTANT

All patients under the age of 18 years, MUST BE ACCOMPANIED BY A PARENT OR LEGAL GUARDIAN.

 

Please alert the office if you have a severe latex allergy, have a pacemaker, or require premedication (per your physician due to certain medical conditions).

 

Adult Health History Form

Child (Under 12) Health History Form

HIPAA Privacy Policy Consent Form

Notice of Privacy Practices - HIPAA