Logo
    • About the Doctor
    • Staff Directory
    • Office Hours & Policies
    • Map & Directions
    • Payment Options
    • Appointments
    • Office Tour
    • First Visit
    • New Patient Forms
    • Videos
    • Patient Testimonials
    • Before & After
    • Oral Hygiene
    • Common Problems
    • Emergency Info
    • Foods to Avoid
    • FAQ
    • Links
    • Glossary
    • Early Treatment
    • Adult Treatment
    • Invisalign
    • Invisalign Teen
    • Invisalign FAQ
    • Damon
    • Damon FAQ
    • Games
    • Dr. Niles' Smiles
    • Feedback
    • Contest
YoutubeFacebook

New Patient Forms

Please print then fill out the first two forms and bring it to your initial exam appointment.  The third form is for your information and reading only.   Thank you!

  • Dr. Gordon Niles Patient Information Form
  • HIPAA
  • HIPPA

adobe
*This form require Adobe Acrobat Reader to view. If you do not have Adobe Reader already installed on your computer, click the Adobe logo above to download.

8082 W. Grand River, Brighton, MI 48114    P: (810) 227-1950    F: (810) 227-3414
  • Home
  • Office Info
  • About the Doctor
  • Staff Directory
  • Office Hours & Policies
  • Map & Directions
  • Payment Options
  • Appointments
  • Office Tour
  • Patient Info
  • First Visit
  • New Patient Forms
  • Videos
  • Patient Testimonials
  • Before & After
  • Oral Hygiene
  • Common Problems
  • Emergency Info
  • Foods to Avoid
  • FAQ
  • Links
  • Glossary
  • Treatment
  • Early Treatment
  • Adult Treatment
  • Invisalign
  • Invisalign Teen
  • Invisalign FAQ
  • Damon
  • Damon FAQ
  • Fun Stuff
  • Games
  • Dr. Niles' Smiles
  • Feedback
  • Contest
  • Contact Us
2012© All Rights Reserved | Privacy Policy | Orthodontic Website Design By TeleVox®     Administration