Patient Forms

Patient Information and Health History

Please complete the patient information and medical history questionnaire.

fill out patient forms
1 & 2 Year Old Survey

If the appointment is for your child who is 2 years old or younger, please fill out this form. Please fill out this form in addition to the patient information and health history form.

Take 1 & 2 Year Old Survey
Kids' Questionnaire

We want to hear from our littlest patients! We'd love to hear about a few of your child's favorite things. The more we know, the better equipped we are to ensure they have the best dental experience. Print, have fun filling out and bring with you to your child's first visit.


*Submission of online patient forms are secure and HIPAA compliant.

Radiographs or X-rays

If we discussed transferring records from a prior dentist, that dentist office may be contacting you for your consent to release those to us. Please be sure to confirm that the radiographs were sent to us prior to your appointment.

Your Financial Options

We want to make your dental care as affordable and comfortable as possible. We proudly offer a variety of options to fit your dental care into your life.

  • Cash
  • Check
  • Visa
  • MasterCard
  • Discover
  • American Express
  • CareCredit

Please bring your latest insurance card and photo ID for processing your dental claim. We will estimate the cost of any procedures that you may require before beginning the recommended treatment, and we will gladly file a claim with your insurance. To best protect your oral health, we offer comprehensive treatment recommendations. Some of those recommendations may not be covered by your insurance. Other payment arrangements need to be made for those treatments. If you have any questions, we're here to answer those for you.

Learn More About Us

We're located at 145 South Main, Suite 1, Wayland, MI 49348 right behind the Henika District Library. You can find directions and a map here.

Check out the rest of our website, or visit us on social media to learn more about us. We are a hometown dental practice with advanced dentistry solutions to care for the whole family!

Children's Dentistry

With a passion for helping children experience the lifelong benefits of a healthy smile, Dr. Sexton and his entire team offer children’s dentistry services to support your child’s health and development at every age.

"I believe that positive, enjoyable experiences at the dentist help a child to build trust with their dental team—and that leads to a lifetime of healthy dental care." — Dr. Bruce Sexton

Baby’s First Visit

For a lifetime of good oral health and a positive relationship with the dentist, the American Dental Association and the American Academy of Pediatric Dentistry recommend that your baby has their first dental visit by their first birthday or within six months of their first tooth erupting (whichever comes first).

During their first dental visit, you’ll hold your baby on your lap while we gently examine their jaws and any teeth that have erupted. Dr. Sexton and his team will also answer your questions, and provide developmentally specific guidance on how you can best care for your baby’s smile in between visits.

Creating healthy, beautiful smiles outside and in.

Discover complete health dentistry and start your smile makeover today! Request your appointment at Bruce Sexton DDS.