Patient Forms

Bring your smile; but also please complete the patient information prior to your first dental appointment and please bring the following information with you.

  • Your insurance card
  • Your picture ID/Drivers License

Again, please login to our secure patient portal prior to your first appointment and, download the forms and fill out the patient information. This will help us spend more time taking care of your dental needs.

Please complete this information if it has been longer than a year since your last visit.

New Patient Forms (CLICK TO DOWNLOAD)
Current Patients (CLICK TO DOWNLOAD)

Financial Information

It is our mission to provide our patients with affordable, high-quality treatment that fits your budget! We offer a variety of payment options to meet your needs. In-house financing options are available. Financial services are also available through CareCredit . We accept Visa, MasterCard and Discover payments. A cash discount is offered for payment in full at the beginning of treatment. We thoroughly explain your options, so that we can accommodate your needs.


If your insurance covers treatment, you will receive the benefit of reduced personal costs. Many insurance policies have a lifetime benefit that is distinct from regular dental insurance. Remember that insurance policies vary, and we will review your insurance to determine the appropriate course of action. Once treatment has started, we will file your claims. To help us with your insurance filing, please complete the insurance questions on our questionnaire. Please remember that dental insurance is a benefit for you or your child. If, during the course of treatment, your benefits change, the financially responsible party is accountable for all charges.



“Always prompt, courteous, and professional.”
*****(5 stars)
by BR & RR (May 22, 2014)

“As always, very professional and careful to make me comfortable.”
*****(5 stars)
by Pam McMaster (May 19, 2014)

“Thank you, for reeducating my children on the importance of brushing correctly.”
*****(5 stars)
by Christine T (May 17, 2014)

“I find their staff to be fantastic! I always feel like I am a part of their family. Great care and professionalism.”
*****(5 stars)
by Daniel (April 24, 2014)

“Thank you for the excellent service at my emergency visit that required a temporary crown. So far, so good:) I am so appreciative that you could work me in and be so efficient with the procedure. Every one in the office was so helpful and caring!
*****(5 stars)
by Denise (April 23, 2014)

“Dr. Dayton and his associates have been our families dental health care providers since 1988. They are the most gentle, knowledgeable, and caring group of people. Dr. Dayton is very meticulous and I have the beautiful smile to prove it. Thanks Grand Rapids Dentistry!”
*****(5 stars)
by Anonymous (March 10, 2014)