Patient Forms, Map and Directions to Livonia Office
Your first visit to our office establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know our doctors. To understand what to expect for your first visit to our practice, please read through this page. You'll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. You can even save some time at your first visit by completing the patient forms in advance of your appointment.
As your long-standing local dentist office, we strive to provide a comfortable, familiar office that is completely yours. Our doctors and staff work for you and your dental needs! The communication between doctors, staff and patient is essential at our office. By taking a preventative approach and a step by step process, our patients are able to make educated decisions about their personal oral health. As your dental care provider, we will strive to give you a healthier, happier lifestyle starting with your smile!
"Dental health is the first priority in our office. I take a conservative approach in dentistry by listening to our patients and standing by the philosophy...if it isn't broken than don't fix it!" -Dr. Jim
If you are a New Patient or you have received an e-mail asking you to update your paperwork, please select each of the forms below.
- Patient Consent HIPAA Form [PDF] | [ONLINE]
- Patient History Form [PDF] | [ONLINE]
- Patient Insurance Form [PDF] | [ONLINE]
- Written Financial Policy Form [PDF] | [ONLINE]
Mikula Dental is happy to announce that we are accepting new patients!
Insurance and Billing
Mikula Dental In-House Dental Insurance Plan: Our In-House dental plan will be offered to those of you who do not have any dental insurance coverage. Click the link below for more information.
Revenue Well is our patient communication system that allows you to access your dental account online! By activating this secure and confidential Patient Connect portal, you are now able to keep track of your oral health. This innovative service lets you do things like:
- View your appointment and treatment history
- Request appointments online
- View balance and make online payments
- Stay up to date with specials
We are excited to offer our patients this new system that allows them to access their oral health at their fingertips.
What To Expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit!
Your initial appointment will consist of a consultation explaining your diagnosis and treatment options. Occasionally, treatment can be performed the same day as the consultation. However, a complex medical history or treatment plan will require an evaluation and a second appointment to provide treatment on a separate day.
Please assist us by providing the following information at the time of your consultation:
- X-rays (if applicable)
- A list of your current medications
- If you have medical or dental insurance, bring the necessary completed forms. This will save time and allow us to help you process any claims.
IMPORTANT: A parent or guardian must accompany all patients under the age of 18 at the consultation visit.
Please alert the office if you have a medical condition that may be of concern prior to surgery (i.e,. diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever, etc.) or if you are on any medication (i.e., heart medications, aspirin, anticoagulant therapy, etc.) .
If you have x-rays from a previous dentist or physician, you may request that they forward them to our office or we can assist you in getting them transferred to us. If there is not enough time, please pick them up and bring them to our office. If additional films are necessary, they can be taken at our facility.