(248) 266-8581

Patient Forms

Patient Forms

Going to the dentist can be an overwhelming experience, especially on your first dental visit. Let us put your concerns and anxieties to rest. Our goal at Roman Shlafer, DDS is to make every patient experience as comfortable as possible.

To make your visit as pleasant and brief as possible, there are a few things you should bring with you. Please bring any dental X-rays from the last six months to your first appointment.

With just a few simple forms, we’ll ask for relevant medical history, any medications you might be taking, your dental history, and any dental insurance coverage you may have.

Want to get a head start? Download the new patient forms below.

These documents are in Adobe PDF format. If you’re unable to read PDF files, please  download free Adobe Acrobat Reader here.

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Our Happy Patients

"Dr. Shlafer became my dentist 2 years ago when my fiance at the time recommended I use his dentist. From the initial consultation, I knew Dr Shlafer would be my long term dentist. Dr Shalfer and his team were very thorough which showed that they truly cared about my dental health. I highly recommend Dr. Shlafer."

Miller Yvonne Miller

"The staff here is stellar. I've been going here for years now and have never had a bad experience. The women at the desk greet everyone by name, and the doctor remembers everything you tell him about yourself. Everyone here knows what they're doing, a trip here is never a hassle, and they'll always keep your best interest in mind."

Marc B Marc B.

"Dr. Shlafer and staff are absolutely fabulous. So incredibly friendly and accommodating and Dr. is so gentle and very comforting. The office atmosphere is very relaxing as well!"

Tim C Christiana H.
We're here to help you get the perfect smile!
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