Office Forms

Royal Oak Family Dentistry accepts all major insurance including Blue Cross, Delta Dental, Met Life, Guardian and AETNA. Payments plans including Care Credit financing is avaible.

Here at Royal Oak Family Dentistry, we strive to treat you promptly and with great care. By completing and bringing the following new patient forms, we will be able to better serve you and your family. We look forward to meeting you.

New Patient Registration - Download PDF

Medical History Form - Download PDF

HIPPA Consent Acknowledgement of
Receipt of Notice of Privacy Practices - Download PDF

Financial Arrangements with Royal Oak Family Dentistry
and Appointment Policy. - Download PDF