New Patient Forms and Required Paperwork

We are excited to welcome new patients to our office, and we do all we can to ensure your initial visit is a positive one. To aid in this effort, we have provided our patient forms online for your convenience. To use, simply fill out the forms below and click submit. They will then be sent straight to our office before your visit with Dr. Shawn Van de Vyver, our skilled dentist in Royal Oak, Michigan. For help with our patient forms, please contact our dental office today. We would love to assist you!

CLICK HERE TO FILL OUT YOUR FORMS ONLINE

Patient Medical History

Informed Consent

HIPAAPolicy

HIPAA Acknowledgement

Appointment Policy

Financial Options

We understand that navigating your dental finances can be tricky, which is why our knowledgeable dental team stands ready and willing to help you with all your financial options. Our goal is to help you and your family receive the dental care you deserve while working with your individual financial situation and needs. To assist in this process, we currently accept many dental insurance plans, and we are providers with:

  • Aetna
  • Blue Cross / Blue Shield
  • Connection Dental
  • Delta Dental Premier
  • DenteMax
  • MetLife

For our patients without insurance, we accept cash, credit cards, and Lending Club, a third-party financing company. CLICK HERE to start a Lending Club application. We also have in-house payment plans available. If you have questions about your dental finances, please do not hesitate to contact our dental office in Royal Oak, Michigan, today. Our team at Great Lakes Dentistry would be happy to help you in any way we can. Click the Lending Club logo to apply now

Lending Club Logo

Contact Us
(248)435-8880

Request an Appointment

Everyone there is incredibly friendly and skilled. I actually look forward to going to the dentist!
Amber Steciuk
Amber Steciuk
12:17 05 Aug 17
Everyone was so nice! I look forward to going back to complete my treatment after seeing the two specialists that the dentist referred me to. Thanks to all of you at Great Lakes Dentistry.read more
Marcy Beck
Marcy Beck
02:24 17 Jun 17
Always a great experience. Quality dental work, great staff and more than willing to get you in when you have an emergency.read more
Marilyn Sullivan
Marilyn Sullivan
23:01 15 Jun 17
Always an excellent experience! The staff, hygienists, and docs all make for a calm, welcoming, and overall positive experience. I always leave feeling very well cared for.read more
Belinda Bombrisk
Belinda Bombrisk
15:42 10 Jun 17
Kelsey is an awesome hygienist!! Dr. V is caring and remembers his patients, very engaged. Also, Sarah is the most welcoming, soothing and helpful front office rep; just love going to the dentist now! It makes a difference when you have a caring staff. I would recommend Dr. V and his staff to anyone who may have any fears or dislike of visiting the dentist, this office will change your opinion and you will love going!!!read more
Z Schillinger
Z Schillinger
22:22 13 Mar 17
After going to the same dentist for 30+ years he retired. A friend recommended Dr. V, that it would be worth the drive. I live in Canton so it is 70 miles round trip. The friend was correct in recommending Great Lakes Dentistry. His office staff is competent and friendly which usually tells you their boss is also. Dr. V was very courteous and put me at ease. I am so happy I have my dentistry needs met now that my family will be going over there also. Thank you Dr. V and your staff for a pleasant dentist visit. Great Lakes Dentistry is certainly worth the drive.read more
Mark Moore
Mark Moore
18:44 14 Dec 16

Copyright © 2017 Great Lakes Dentistry | Royal Oak, MI 48073 |  All rights reserved. DISCLAIMER: This website is intended for general informational purposes only. It is not intended to provide any dental or medical advice, nor provide any diagnosis of any kind. Contact your physician or dentist regarding your individual, specific conditions. Great Lakes Dentistry assumes no liability by providing this information and provides no guarantee or assurances pertaining to treatment, outcomes, or results described. All images used on this website are either free use images or copyright of Great Lakes Dentistry. Content may be used only with the expressed written consent of Great Lakes Dentistry and Shawn Van de Vyver, D.D.S.. All specialty services provided by Shawn Van de Vyver, D.D.S., a Michigan licensed general dentist. Shawn Van de Vyver, D.D.S. is not a board certified specialist in oral surgery, periodontics or orthodontics. Pre-treatment evaluation required for all procedures. Not all patients qualify for advertised treatment. 6 Month Smiles is a registered trademark and is not a substitute for comprehensive orthodontics. Advertised treatment length is average and individual treatment times may vary.

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