Online Referral Form
You may refer patients to our office by filling out our secure online Referral Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it.
Patient Registration
You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.
To view and fill out these forms on your computer, please download the latest version of Adobe Reader for free at www.Adobe.com. Save time and paper by filling out electronically and send direct to our front desk. Or print, fill out manually and bring to your next appointment. Call Pristine Periodontics and Implants at (248)-901-0000 to schedule your consultation.
The following periodontal patient education videos demonstrate the process of placing a dental implant and crown for patients considering these or other procedures. See more periodontal education videos in the Informational Video Gallery.
Patient Consent Implant Video Missing Teeth
Patient Consent Implant Video Missing Teeth
See more educational videos in our Informational Video Gallery.
If you’re interested in joining the Motor City Study Club or need more information please contact: jenna@pristineperioimplants.com