(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

"I was going to another dentist who didn't quite get it... after switching to Dr. Shlafer I now know how THE BEST DENTIST ever operates! Dr. Shlafer first treated me for a bite-issue that would not go away. Soon after my first visit I was pain-free! Recently I had an area where food often got stuck - after Dr. Shlafer worked his magic I no longer have that issue. I drive all the way from Highland Township to see Dr. Shlafer -- and, it's well worth it. No matter where you live Dr. Shlafer is the ONLY dentist that I'd recommend. Thanks Doc!"

Rick S Rick S.

"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.

"I am a patient of Dr. Shlafer and he has helped me tremendously. I had to have a lot corrective dentistry done and I sought out Dr. Shlafer to take on the challenge. I have told many people that he is a master in his field. He pays attention to the details and is extremely skilled in his craft way beyond normal denistry. I send all my friends and family to him especially if there is something out of the ordinary that needs to be done. He has advanced training and can take on serious issues."

Tim C Tim C.
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