New Patients

You're in great hands

We make sure all our new patients feel welcome. During your first visit, Dr. Knight will review your dental and medical history. For diagnosis, she will have X-rays taken and examine your teeth. Dr. Knight will explain any issues and help you choose options for treatment. We typically proceed with a cleaning at a time that is most convenient for you.

For all patients:
General Treatment Consent
HIPAA Policy

For Children ages 0-17:
Child Health History
Children’s MyoSleep Questionnaire
Child & Adolescent Epworth Questionnaire (to be filled out if you experience day time sleepiness)
* Including a 30 second video of your child sleeping will help with diagnosis if there is concern for sleep and breathing. Signs are crowded teeth, snoring, mouth breathing, ADHD, trouble focusing in school, etc. Learn more about myobrace.
Caries Risk Assessment (Ages 0-12)
Caries Risk Assessment (Age 13+)

Consent for Unaccompanied Minor

For adults ages 18+ years:
Health History
Adult Epworth Questionnaire (to be filled out if you experience day time sleepiness)

*Please don’t forget to bring a current health insurance card to your appointment. Many sleep and airway diagnosis and treatment codes can be covered by medical insurance. If you have a dental insurance card please bring that as well.

Is your child visiting the dentist for the first time? Please watch the video below to prepare for your appointment:

Harbor Country Dental © 2021
105 W. Merchant St. New Buffalo, MI 49117

Contact:
team@harborcountrydental.com
Main Phone: (269) 469-3140
Fax: (269) 469-6182

Office Hours (Eastern Time):
Monday—Thursday: 8:30 am - 5:00 pm

Site Powered by Fusion Design Group, Ltd.

Member of harbor country chamber of commerce

Harbor Country Dental © 2021
105 W. Merchant St. New Buffalo, MI 49117

Contact:
team@harborcountrydental.com
Main Phone: (269) 469-3140
Fax: (269) 469-6182

Office Hours (Eastern Time):
Monday Tuesday, Thursday: 8:30 am - 5:00 pm
Wedsnesday: 8:30 am - 6:00 pm

Site Powered by Fusion Design Group, Ltd.

Member of harbor country chamber of commerce