My Forever Smile
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    • Half the Time. Half the Price
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      • Dr. Hayden
      • Dr. Sabourin
      • Dr. Remer
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      • Novi Team
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    • Adult Registration
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    • HIPPA Notice Form
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    • Oral Hygiene
    • Request an Appointment
  • News
  • Contact Us
    • Novi
    • Saginaw
    • Troy
  • Call:833-247-7914
  • Home
  • Why Us
    • Half the Time. Half the Price
    • Our Process
    • Our Technology
    • Patient Testimonials
  • About
    • Our Story
    • Meet Our Doctors
      • Dr. Hayden
      • Dr. Sabourin
      • Dr. Remer
    • Meet Our Team
      • Saginaw Team
      • Troy Team
      • Novi Team
    • FAQs
  • For Patients
    • Adult Registration
    • Child Registration
    • HIPPA Acknowledgement
    • HIPPA Notice Form
    • Insurance Authorization Form
    • Medical History
    • Financial and Insurance
    • Oral Hygiene
    • Request an Appointment
  • News
  • Contact Us
    • Novi
    • Saginaw
    • Troy
  • Call:833-247-7914

HIPPA Notice Form

This form is for patient information only and does not need to be printed unless the patient would like a hard copy. It describes our office HIPPA policy.

DOWNLOAD HIPPA NOTICE FORM
Adult
Registration

Child
Registration

HIPPA
Acknowledgement

HIPPA
Notice Form

Insurance
Authorization Form

Medical
History

Financial and
Insurance Information

Oral
Hygiene Tips

Request
an Appointment

LOCATIONS

Mt. Morris

Troy

Saginaw

Novi

M Y F O R E V E R S M I L E . C O M / 8 3 3 - 2 4 7 - 7 9 1 4

About Us

At My Forever Smile, we make straight teeth and beautiful smiles affordable and we do it efficiently to save you time! We use an effective method that corrects dental issues. A beautiful smile is within your reach.

Contact Us




  • Home
  • Why Us
  • About
  • For Patients
  • News
  • Contact Us
  • Call:833-247-7914

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