Patient Resources

New Patient Forms & Required Paperwork

We are excited to welcome new patients to our office, and we do all we can to ensure your initial visit is a positive one. To aid in this effort, we have provided our patient forms online for your convenience. To use, simply fill out the forms below and click submit. They will then be sent straight to our office before your visit with one of our skilled dentists. For help with our patient forms, please contact our dental office today. We would love to assist you!

Patient Medical History
Informed Consent
HIPAA Policy
HIPAA Acknowledgement
Appointment Policy

Financial Options
We understand that navigating your dental finances can be tricky, which is why our knowledgeable dental team stands ready and willing to help you with all your financial options. Our goal is to help you and your family receive the dental care you deserve while working with your individual financial situation and needs. To assist in this process, we currently accept many dental insurance plans, and we are providers with:
  • Aetna
  • Blue Cross / Blue Shield
  • Connection Dental
  • Delta Dental Premier
  • DenteMax
  • MetLife
For our patients without insurance, we accept cash, credit cards, and CareCredit, a third-party financing company.
CLICK HERE to start a CareCredit application.
We also have in-house payment plans available.

If you have questions about your dental finances, please do not hesitate to contact our dental office in Royal Oak, Michigan, today. Our team at Lumon Dental would be happy to help you in any way we can.