New Patients
A fter you've spoken with someone at our office and have scheduled an appointment, we ask that you please complete the SIX STEPS below. We are looking forward to meeting you and learning how we can best accommodate your or your family's dental needs in the future.
NOTE: If you prefer to print and fill these forms out by hand, please download them at the bottom of this page and bring the completed forms to your appointment. If you decide to mail your forms, please mail them at least two weeks before your appointment to Michael A. Izzo, D.D.S. 1310 Warwick, Lincoln Park, MI, 48146.
Note: If you are not using insurance, you are entitled to a Good Faith Estimate under the No Surprises Act passed in 2021. Please see full details in the "Common Questions" portion of this website (scroll down on the main page of this site.) A copy of those rights will also be provided to you if you schedule any procedures with this office.
Fill out our COVID-19 Questionnaire
Read our Notification of Privacy Document (no signature required).
Fill out our Patient Information Form
Fill out our Patient Acknowledgement & Consent Form
Read and sign our Financial Policy
Print & fill out our Medical History Form
T hank you for submitting all of the forms above. If you're reached this point, you've already spoken to someone in our office about an appointment, but if you have any questions or concerns (or need to change your appointment time), please feel free to contact us.
What Will My Visit Be Like During COVID-19?
We have gone to every length possible in order to create a safe, healthy, and comfortable dental office for our patients during COVID-19. Learn the best ways to prepare for your dental visit and what to expect when you arrive for your dental appointment.
Download & Print Forms
If you prefer to print and fill these forms out by hand, please download them via the links below and bring the completed forms to your appointment. If you decide to mail your forms, please mail them at least two weeks before your appointment to Michael A. Izzo, D.D.S. 1310 Warwick, Lincoln Park, MI, 48146.
HOURS
Monday 9 am- 7 pm
Tuesday 9 am - 5 pm
Wednesday Closed
Thursday 10 am - 6 pm
Friday 9 am - 3 pm
Closed on Saturday and Sunday
CONTACT US
Address: 1310 Warwick Lincoln Park, MI 48146
Phone: (313) 386-7660
Fax: (313) 386-8980
Email: info@drmikeizzo.com