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Online Forms

health_resources.pngDr. Kernstock's office offers our patient form(s) online so they can be completed it in the convenience of your own home or office. Follow these easy three steps:

  • If you do not already have AdobeReader installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Bring them with you to your appointment.

New Dental Patient Form - Required

This lets us know the history and current state of your dental health. What questions, concerns, goals, regarding dental care can we help you with? Let us know!

Download & Print Form

Patient Medical History Form - Required

Download & Print Form

HIPAA Privacy and Release Form

Download & Print Form


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Dr. Thomas A. Kernstock is now accepting new patients!

Please call us at (989) 893-4381 or use this form to request an appointment.

Thomas A. Kernstock, DDS,PC's Practice

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Office Hours

Monday:

8:00 am - 1:00 pm

2:00 pm - 5:00 pm

Tuesday:

8:00 am - 1:00 pm

2:00 pm - 5:00 pm

Wednesday:

8:00 am - 1:00 pm

2:00 pm - 5:00 pm

Thursday:

8:00 am - 1:00 pm

2:00 pm - 5:00 pm

Friday:

By appointment

only

Saturday:

closed

closed

Sunday:

closed

closed