Patient Forms

Our dentist and team know that a dental appointment often means time away from other activities and we want you to get the most out of your appointment at Polyviou Family Dentistry. To make your visit more convenient, you can access our new patient forms below. You can print out and complete the forms at your own pace and bring them with you to your dental appointment in Lincoln Park, Michigan.


You also have the option of submitting your forms securely online. This will give Dr. Paul Polyviou the opportunity to review your medical history and begin thinking about potential treatment options for your smile.


If you have questions about your paperwork, need assistance completing the forms or if you just want to schedule your visit, we invite you to contact our office at 313-388-2400.

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Lincoln Park, MI

3784 Dix Hwy, Lincoln Park, MI 48146


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Office Hours

  • MON8:00 am - 5:00 pm
  • TUE8:00 am - 5:00 pm
  • WED8:00 am - 5:00 pm
  • THU8:00 am - 5:00 pm
  • FRIClosed
  • SATClosed
  • SUNClosed
(313) 388-2400