Make an Appointment
Please call 734-763-6933 to make or change an appointment. Or use the Request Appointment form. We are open to the public.
Please visit the Directions & Parking for directions to the University of Michigan School of Dentistry.
If you require emergency care, call 734-763-6933 and select option #1.
The following forms should be completed by you and brought to your first appointment:
If you are accompanied by a family member or friend and would like that person to be involved in discussing your care, please print, complete and return this form at your next appointment.
How much will it cost?
The University of Michigan provides a tiered pricing system, depending on the clinic you choose. Visit Fees and Insurance for a more detailed breakdown.
Are you a patient's parent or guardian?
The parent/guardian accompanying a minor is responsible for signing the minor’s consent and agreement form and assumes financial responsibility for treatment rendered to the minor. If you are the patient's legal guardian, please bring photo ID, proof of guardianship and proof of insurance (if applicable). When the minor is emancipated or turns eighteen, he or she is financially responsible for further treatment
If you would like a copy of your records, we require a release form. You will need to download the form below. Print, complete and return by fax, mail or in person to Central Records.