We are happy to offer our new patient forms online.

Please download each form, fill them out online, and then print them to bring to your first appointment with Zoma Dental.
Note: These forms are fillable and can be completed and signed online.

New Patient Registration

Please download, print and complete this form before your first dental appointment.

Download New Patient Form

HIPAA Form

Please download, print and complete this form before your first dental appointment.

Download Our HIPPA Form

Financial Policy

Please download, print, and complete our financial policy form before your first dental appointment at Zoma Dental.

Download Financial Policy Form

Medical History Form

Please download, print, and complete this medical form before your initial appointment.

Download Medical History Form

If you are unable to view the pdf files, please click on the icon below to download and install Adobe Reader:

West Bloomfield Dentist

Farmington Dentist
Family Dentist
General Dentist
Cosmetic Dentist
Dental Implants
Porcelain Crowns

Zoma Dental West Bloomfield
6330 Orchard Lake Rd., Ste. 130
West Bloomfield Township, MI 48322
Phone: (248) 932-0550

Zoma Dental Downtown Farmington
33211 Grand River Ave, Ste. 23
Farmington, MI 48336
Phone: (248) 474-0273

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