Michael E. Simony DDS & Associates

(586) 263-9300

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New Patient Information

Information For New Patients

New Patient Specials


New Patient Special Offer!

What you should expect from your dentist:


  • He should listen to you...
    When you first meet your dentist, it's a good sign if you do all the talking and all of your questions are answered. Your concerns are very important to the doctor.
  • Gentle, comfortable care...
    Wouldn't you like to be able to say that your doctor treats and cares for you and your family the way he wants his own family cared for?

New Patient Forms


Online New Patient Forms

Or, if you prefer, you can print and fill out the appropriate forms below and bring them in at your first appointment:

Adult New Patient Form

Child New Patient Form

Finance & Insurance


We make every effort to keep the cost of dental care down. You can help us by keeping scheduled appointments and paying for treatment at the time of service. For your convenience, we do accept cash, checks, Visa, MasterCard, Discover and Care Credit.

We also offer special financing through CareCredit. CareCredit is a medical/dental credit card that offers no-interest payment plans so you can afford to do the treatment that you need or wished for.

Apply For Care Credit

Dental insurance is a valuable asset and assists patients in paying for a portion of restoring and maintaining good dental health. We do, as a courtesy to you, file dental claims on your behalf. However, due to constantly changing insurance benefits and deductibles, we are only able to estimate your insurance balance. If your insurance company pays more or less, we adjust your account accordingly. The patient is responsible for making us aware of any change in their insurance and for the balance not paid by insurance. We do ask that your co-payment be paid at the time of service. We do participate with most insurance companies. If you have any questions, please feel free to call the office and we will be happy to assist you.