Call: (734) 485-4600

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Patient Forms

We want to welcome you to the Washtenaw Dental Associates family!

We are glad that you are interested in becoming a patient of Dr. Dennis Donoho’s 2100 Washtenaw Ave, MI dental practice. New patients are always welcome here. Everyone at Washtenaw Dental Associates is committed to making your visits pleasant and stress-free. You can count on our friendly, highly experienced staff to always provide the highest standard of dental care in a clean, state-of-the art environment. Your comfort is our top priority.

Please print and bring forms to upcoming appointments or e-mail completed forms to washtenawdental@hotmail.com. (Please note: forms e-mailed to this address are not encrypted.)

We look forward to seeing you soon!

Dr. Dennis Donoho and the Washtenaw Dental Associates team

Click below to download New Patient Registration Materials

Washtenaw_Adult_New_Patient_Form.pdf
Washtenaw_Child_New_Patient_Form.pdf
Washtenaw_Commitment_Policy.pdf