Northview Family Dentistry

A dental practice of Nichole Lubberts DDS

2700 5 Mile Rd. NE Suite 202
Grand Rapids, MI 49525
616.364.8769 (p)
Mon - Wed: 8 to 5pm
Thursday: 7 to 4pm
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New Patient Forms

New PatientWelcome to Northview Family Dentistry! Your first visit with us will include a cleaning with one of our experienced hygienists, an oral cancer screening, and a thorough examination of the teeth and gums.

We may have to take x-rays if you haven’t had dental x-rays taken in the past year in order to diagnose any dental issues properly. Our digital x-rays produce 90% less radiation than traditional film x-rays.

Please take a moment to fill out our medical and dental health form, as well as our Notice of Privacy Practice form. Both of these forms can be printed and filled out to bring with you to your first appointment, or you can fill them out online for your convenience.

Fill out the forms online or download them and bring them in on your first visit.
New patient forms for adults
New Patient Registration for Adults

Fill out online

Print & bring in

Notice of Privacy Practices for Adults

Fill out online

Print & bring in

New patient forms for children
New Patient Registration for Children

Fill out online

Print & bring in

Notice of Privacy Practices for Children

Fill out online

Print & bring in

Northview Dentistry Logo
2700 5 Mile Rd. NE Suite 202
Grand Rapids, MI 49525
616.364.8769 (p)
616.364.7884 (f)
Mon - Wed: 8 to 5pm
Thursday: 7 to 4pm
northviewfamilydentistry@gmail.com
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Meet the Doctor
Our Team
New Patient Forms
Insurance & financing
Contact us
American Dental Association member
Invisalign
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Top 10 dentistry clinics in Grand Rapids, MI 2015
Congratulations to Northview Family Dentistry on winning the 2015 Patients' Choice Awards for Dentistry in Grand Rapids, MI DLN Volunteer

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