(616) 333-8496
(616) 333-8496

New Patient Forms

View Forms

To provide you with the most efficient new patient experience, please complete the forms below. Our team will take comprehensive records and address any concerns or questions you may have.

If you have any problems filling out the forms, please contact our office and we will gladly send them to you.

  • New Patients: please fill out both forms below.
  • Returning Patients: please fill out only the Medical History Form.
Patient Registration FormMedical History Form
Dentists In Grand Rapids Mi New Patient Forms

Request An Appointment With Us

Aren’t sure if you need a dental crown to restore your smile? Your first step is to schedule an appointment with Dr. Michael Nichols. He’ll be able to examine the inside of your mouth and take X-rays to determine the best course of treatment.

Our family dentist in Grand Rapids, MI, is accepting new patients! To request an appointment, call Nichols Family Dentistry at (616) 333-8496.

  • Grand Rapids Cosmetic Dentist
  • Restorative Dentist Near You
  • Preventive Dentists Near Me
  • Dental Implant Dentist West Michigan
  • West Michigan Clear Aligner Dentist