Registration is now easier than ever with our online patient registration forms. If you have any questions about our forms or have issues accessing it, please feel free to call us. We want to make your registration with Dr. Michael E. Kun as simple and easy as possible. We hope to hear from you soon, so our dentist in Whitehall, Pennsylvania can provide you and your family with exceptional dentistry.

Online Forms are only available through the Google Chrome web-browser.
Click here to download Google Chrome.

 

Online Forms:

 

General Dentistry Forms

New Patient Forms

Sleep Apnea Forms

Sleep Questionnaire

TMD Forms

TMD Questionnaire

Oral Surgery Forms

Oral Surgery/Implant Questionnaire

 

Download/PDF Forms:

New Patient Form

Treatment Consent Form

Financial Policy

HIPAA Notice of Privacy Practices

Patient Acknowledgement and Notice of Privacy Practices

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General
Dentistry

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Cosmetic
Dentistry

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Dental
Implants

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TMD/Migraine
Treatment

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Sedation
Dentistry

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Sleep Apnea
Treatment

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