Family Dentistry at Cherry Hill

734-844-1000

  • Home
  • Pay Your Bill
  • Our Team
  • Gallery
  • Whitening & Aligners
  • Forms / Insurance Info
    • Contact Us / Forms
    • In-Office Membership Plan
    • Do You Take My Insurance?
  • More
    • Home
    • Pay Your Bill
    • Our Team
    • Gallery
    • Whitening & Aligners
    • Forms / Insurance Info
      • Contact Us / Forms
      • In-Office Membership Plan
      • Do You Take My Insurance?

734-844-1000

Family Dentistry at Cherry Hill
  • Home
  • Pay Your Bill
  • Our Team
  • Gallery
  • Whitening & Aligners
  • Forms / Insurance Info
    • Contact Us / Forms
    • In-Office Membership Plan
    • Do You Take My Insurance?

New Patient Form

To save time, download and fill out our patient forms and attach to the contact form below, or bring in with you to your appointment!

New Patient Medical Hx form (pdf)Download
HIPPA Form (pdf)Download
Release of Protected Health Information (pdf)Download

Send Message

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Have any questions or concerns? Send us a message or call us, and we'll get you on our schedule!


Fill out your patient form and attach to the contact form to save time at your appointment!

Family Dentistry at Cherry Hill

(734) 844-1000

Hours

Monday: 8 am - 4 pm

Tuesday: 10 pm - 7 pm

Wednesday: 11 pm - 7 pm

Thursday: 8 am - 5 pm

Friday: Closed

Saturday: Closed

Sunday: Closed


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