Family Dentistry - Charlotte
2024 Lansing Road
Charlotte, MI 48813
Ph: 517-543-5230 Fax: 517-543-5011

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Patient Forms, Map and Directions to Dr. Owen's Office

Your first visit to Renee L. I. Owen, DDS, involves a few special steps so that we can get to know you. To understand what to expect, please read through this page. You'll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There's also background information about our committed team and our first visit procedures. You can also save some time by printing out and completing the patient forms in advance of your appointment.

Mission Statement
Create and maintain a practice that is recognized by patients and community members as a leader in the education, diagnosis, and treatment of oral health care issues as it pertains to the overall well being of each patient.

We Emphasize:

Complete diagnosis, including medical influences and key factors that affect dental health

  • Quality patient care that exceeds your expectations.
  • Ensuring a creative, safe, and compassionate professional environment.
  • A committment to continuous improvement at all levels by keeping ourselves educated and up to date on dental knowledge and technology.



Patient Forms
Please print and fill out these forms so we can expedite your first visit, we need to have them in our office at least 2 weeks before your scheduled appointment date to allow us time to obtain previous dental records(if necessary), and properly input your personal and insurance information into our system. Failure to return your forms by the stated due date may cause your appointment to be rescheduled.

Because of medical conditions warranting pre-medication or delayed dental treatment, please be thorough when filling out the medical history forms.

Ages 0-5yrs:MEDICAL HISTORY 2018DISCLOSURE OF INFORMATION 2018Well Baby QuestionaireHIPAA Acknowledgement, Notice of Privacy PracticesPhoto Consent

Ages 6yrs+: MEDICAL HISTORY. 2018DISCLOSURE OF INFORMATION. 2018 HIPAA Acknowledgement Notice of Privacy PraticesPhoto Consent, Records Release

Other Forms: Scheduling and Financial PolicyNotice of Privacy PracticesMedical Treatment Authorization Consent, Insurance Information




What To Expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. Pre-medication with antibiotics is necessary for patients who have had heart valve replacement, certain heart conditions, and some systemic conditions. Making us aware of your complete medical history is pertinent to your safety and treatment in our office. It also will help relieve any unnecessary anxiety you may be feeling. Let us know in advance if you have any treatment preferences, such as the use of nitrous oxide (a relaxing gas breathed in during treatment). Also, take some time to review our team page and familiarize yourself with those of us who will be treating you. A familiar face is always more comforting when you are choosing a new health professional. We look forward to your first visit.



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