We are happy to announce that our office will be open for all aspects of care come June 1st, 2020.
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For your convenience, our dentists and our team provide their new-patient paperwork right here online. Before your first visit to Northline Dental, please complete the new patient form before your appointment. We have provided two convenient options below- one version to print and the other can be filled out online. If you have any questions about our patient forms, please call our dental practice in Southgate, Michigan, at 734-284-8088 for more details.

Printable New Patient Form

Online New Patient Form

For all patients with currently scheduled appointments, the following form must be completed on the same day as your appointment prior to being seen.
Online Patient Screening Form

*Note: When submitting your patient forms, please click the submit button only ONCE so that we do not receive duplicates of your forms.

Patient Reviews


  • Monday8:00 a.m. - 6:00 p.m.
  • Tuesday 8:00 a.m. - 5:00 p.m.
  • Wednesday8:00 a.m. - 6:00 p.m.
  • Thursday8:00 a.m. - 6:00 p.m.

Have questions?

To be used only for general inquiries or appointment requests, not clinical information or emergency services