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Before your first appointment at Growing Smiles, we invite you to fill out your patient forms. This will allow us to expedite your time in our office. You can either download the forms and print them out to bring in person or you can submit the forms online. If you need any help or have questions, please do not hesitate to contact our pediatric dental offices in Chesterfield, St. Clair Shores, and Richmond, Michigan. We are happy to help you.

Patient Forms

Digital Forms

Choose your office location, fill out and submit online before your appointment!

New Patient Form:

(General & Orthodontic)

Choose Your Preferred Location:       Chesterfield         Richmond        St. Clair Shores

Adult Orthodontic Patient Form:

Choose Your Preferred Location:       Chesterfield         Richmond        St. Clair Shores

Downloadable Forms

Print out and bring to your appointment.

New Patient Form (General & Orthodontic)

Adult Orthodontic Patient Form

Financial Options

Dental Insurance Payment Options


Our goal at Growing Smiles is to provide you and your family with affordable, excellent dental care. Investing in the health of your child’s smile is a great choice, and we are excited to serve your family. Our knowledgeable dental team is ready and willing to help you navigate your finances.


We accept dental insurance and are happy to help you file your insurance paperwork. We do everything in our power to help you receive the maximum benefits of your insurance policy. We also accept cash, checks, and credit cards (Visa, MasterCard, American Express, and Discover) as forms of payment. Your payment is due when services are rendered.

If you have any questions or would like help understanding your financial options, we encourage you to call our friendly pediatric dental team today at our offices in Chesterfield, St. Clair Shores, or Richmond, Michigan. We look forward to assisting you in any way we can.

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