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RESULTS FOR
Preservation Dental ® is located at 371 E. Main Street in Northville, Michigan 48167.. Patients are seen by appointment only. Appointments are scheduled by phone or in person. Schedule your appointment by calling (248) 348-1313. DATE OF BIRTH TODAY’S DATE endocrine 17. Diabetes (high blood sugar)? Yes No Don’t know 18. Frequent urination (six times/day), kidney disease or dialysis? Yes NoDon’t know
PRESERVATION DENTAL OFFICE OF DR. WILLIAM S. DEMRAY 03_2013 PRESERVATION DENTAL Office of Dr. William S. Demray Notice of Privacy Practices Acknowledgement and Consent I hereby give my consent for Preservation Dental BUY IVERMECTIN ONLINE ON 🔳 WWW.PHARMO.STORE 🔳 Preservation Dental ® is located at 371 E. Main Street in Northville, Michigan 48167.. Patients are seen by appointment only. Appointments are scheduled by phone or in person. Schedule your appointment by calling (248) 348-1313. PRESERVATIONDENTAL.ORG preservationdental.org PATIENT CONSENT FORM Patient Consent Form Request to Release Dental Records 371 E. Main St. Northville, MI 48167 238-348-1313(p) 248-348-1363(f) Patient Name: _____ Date of Birth:_____RESULTS FOR
Preservation Dental ® is located at 371 E. Main Street in Northville, Michigan 48167.. Patients are seen by appointment only. Appointments are scheduled by phone or in person. Schedule your appointment by calling (248) 348-1313. DATE OF BIRTH TODAY’S DATE endocrine 17. Diabetes (high blood sugar)? Yes No Don’t know 18. Frequent urination (six times/day), kidney disease or dialysis? Yes NoDon’t know
PRESERVATION DENTAL OFFICE OF DR. WILLIAM S. DEMRAY 03_2013 PRESERVATION DENTAL Office of Dr. William S. Demray Notice of Privacy Practices Acknowledgement and Consent I hereby give my consent for Preservation Dental BUY IVERMECTIN ONLINE ON 🔳 WWW.PHARMO.STORE 🔳 Preservation Dental ® is located at 371 E. Main Street in Northville, Michigan 48167.. Patients are seen by appointment only. Appointments are scheduled by phone or in person. Schedule your appointment by calling (248) 348-1313. PRESERVATIONDENTAL.ORG preservationdental.org PATIENT CONSENT FORM Patient Consent Form Request to Release Dental Records 371 E. Main St. Northville, MI 48167 238-348-1313(p) 248-348-1363(f) Patient Name: _____ Date of Birth:_____ DATE OF BIRTH TODAY’S DATE endocrine 17. Diabetes (high blood sugar)? Yes No Don’t know 18. Frequent urination (six times/day), kidney disease or dialysis? Yes NoDon’t know
RESULTS FOR
Preservation Dental ® is located at 371 E. Main Street in Northville, Michigan 48167.. Patients are seen by appointment only. Appointments are scheduled by phone or in person. Schedule your appointment by calling (248) 348-1313. PRESERVATION DENTAL OFFICE OF DR. WILLIAM S. DEMRAY 03_2013 PRESERVATION DENTAL Office of Dr. William S. Demray Notice of Privacy Practices Acknowledgement and Consent I hereby give my consent for Preservation Dental BUY IVERMECTIN ONLINE ON 🔳 WWW.PHARMO.STORE 🔳 Preservation Dental ® is located at 371 E. Main Street in Northville, Michigan 48167.. Patients are seen by appointment only. Appointments are scheduled by phone or in person. Schedule your appointment by calling (248) 348-1313. PRESERVATIONDENTAL.ORG preservationdental.org DATE OF BIRTH TODAY’S DATE endocrine 17. Diabetes (high blood sugar)? Yes No Don’t know 18. Frequent urination (six times/day), kidney disease or dialysis? Yes NoDon’t know
PATIENT CONSENT FORM Patient Consent Form Request to Release Dental Records 371 E. Main St. Northville, MI 48167 238-348-1313(p) 248-348-1363(f) Patient Name: _____ Date of Birth:_____ PRESERVATION DENTAL OFFICE OF DR. WILLIAM S. DEMRAY 03_2013 PRESERVATION DENTAL Office of Dr. William S. Demray Notice of Privacy Practices Acknowledgement and Consent I hereby give my consent for Preservation DentalRESULTS FOR
Preservation Dental ® is located at 371 E. Main Street in Northville, Michigan 48167.. Patients are seen by appointment only. Appointments are scheduled by phone or in person. Schedule your appointment by calling (248) 348-1313. BUY IVERMECTIN ONLINE ON 🔳 WWW.PHARMO.STORE 🔳 Preservation Dental ® is located at 371 E. Main Street in Northville, Michigan 48167.. Patients are seen by appointment only. Appointments are scheduled by phone or in person. Schedule your appointment by calling (248) 348-1313. PRESERVATIONDENTAL.ORG preservationdental.org DATE OF BIRTH TODAY’S DATE endocrine 17. Diabetes (high blood sugar)? Yes No Don’t know 18. Frequent urination (six times/day), kidney disease or dialysis? Yes NoDon’t know
PATIENT CONSENT FORM Patient Consent Form Request to Release Dental Records 371 E. Main St. Northville, MI 48167 238-348-1313(p) 248-348-1363(f) Patient Name: _____ Date of Birth:_____ PRESERVATION DENTAL OFFICE OF DR. WILLIAM S. DEMRAY 03_2013 PRESERVATION DENTAL Office of Dr. William S. Demray Notice of Privacy Practices Acknowledgement and Consent I hereby give my consent for Preservation DentalRESULTS FOR
Preservation Dental ® is located at 371 E. Main Street in Northville, Michigan 48167.. Patients are seen by appointment only. Appointments are scheduled by phone or in person. Schedule your appointment by calling (248) 348-1313. BUY IVERMECTIN ONLINE ON 🔳 WWW.PHARMO.STORE 🔳 Preservation Dental ® is located at 371 E. Main Street in Northville, Michigan 48167.. Patients are seen by appointment only. Appointments are scheduled by phone or in person. Schedule your appointment by calling (248) 348-1313. PRESERVATIONDENTAL.ORG preservationdental.org DATE OF BIRTH TODAY’S DATE endocrine 17. Diabetes (high blood sugar)? Yes No Don’t know 18. Frequent urination (six times/day), kidney disease or dialysis? Yes NoDon’t know
PATIENT CONSENT FORM Patient Consent Form Request to Release Dental Records 371 E. Main St. Northville, MI 48167 238-348-1313(p) 248-348-1363(f) Patient Name: _____ Date of Birth:_____ PRESERVATION DENTAL OFFICE OF DR. WILLIAM S. DEMRAY 03_2013 PRESERVATION DENTAL Office of Dr. William S. Demray Notice of Privacy Practices Acknowledgement and Consent I hereby give my consent for Preservation DentalRESULTS FOR
Preservation Dental ® is located at 371 E. Main Street in Northville, Michigan 48167.. Patients are seen by appointment only. Appointments are scheduled by phone or in person. Schedule your appointment by calling (248) 348-1313. BUY IVERMECTIN ONLINE ON 🔳 WWW.PHARMO.STORE 🔳 Preservation Dental ® is located at 371 E. Main Street in Northville, Michigan 48167.. Patients are seen by appointment only. Appointments are scheduled by phone or in person. Schedule your appointment by calling (248) 348-1313. PRESERVATIONDENTAL.ORG preservationdental.org DATE OF BIRTH TODAY’S DATE endocrine 17. Diabetes (high blood sugar)? Yes No Don’t know 18. Frequent urination (six times/day), kidney disease or dialysis? Yes NoDon’t know
PATIENT CONSENT FORM Patient Consent Form Request to Release Dental Records 371 E. Main St. Northville, MI 48167 238-348-1313(p) 248-348-1363(f) Patient Name: _____ Date of Birth:_____ PRESERVATION DENTAL OFFICE OF DR. WILLIAM S. DEMRAY 03_2013 PRESERVATION DENTAL Office of Dr. William S. Demray Notice of Privacy Practices Acknowledgement and Consent I hereby give my consent for Preservation DentalRESULTS FOR
Preservation Dental ® is located at 371 E. Main Street in Northville, Michigan 48167.. Patients are seen by appointment only. Appointments are scheduled by phone or in person. Schedule your appointment by calling (248) 348-1313. BUY IVERMECTIN ONLINE ON 🔳 WWW.PHARMO.STORE 🔳 Preservation Dental ® is located at 371 E. Main Street in Northville, Michigan 48167.. Patients are seen by appointment only. Appointments are scheduled by phone or in person. Schedule your appointment by calling (248) 348-1313. PRESERVATIONDENTAL.ORG preservationdental.org DATE OF BIRTH TODAY’S DATE endocrine 17. Diabetes (high blood sugar)? Yes No Don’t know 18. Frequent urination (six times/day), kidney disease or dialysis? Yes NoDon’t know
PATIENT CONSENT FORM Patient Consent Form Request to Release Dental Records 371 E. Main St. Northville, MI 48167 238-348-1313(p) 248-348-1363(f) Patient Name: _____ Date of Birth:_____ PRESERVATION DENTAL OFFICE OF DR. WILLIAM S. DEMRAY 03_2013 PRESERVATION DENTAL Office of Dr. William S. Demray Notice of Privacy Practices Acknowledgement and Consent I hereby give my consent for Preservation DentalRESULTS FOR
Preservation Dental ® is located at 371 E. Main Street in Northville, Michigan 48167.. Patients are seen by appointment only. Appointments are scheduled by phone or in person. Schedule your appointment by calling (248) 348-1313. BUY IVERMECTIN ONLINE ON 🔳 WWW.PHARMO.STORE 🔳 Preservation Dental ® is located at 371 E. Main Street in Northville, Michigan 48167.. Patients are seen by appointment only. Appointments are scheduled by phone or in person. Schedule your appointment by calling (248) 348-1313. PRESERVATIONDENTAL.ORG preservationdental.org DATE OF BIRTH TODAY’S DATE endocrine 17. Diabetes (high blood sugar)? Yes No Don’t know 18. Frequent urination (six times/day), kidney disease or dialysis? Yes NoDon’t know
PATIENT CONSENT FORM Patient Consent Form Request to Release Dental Records 371 E. Main St. Northville, MI 48167 238-348-1313(p) 248-348-1363(f) Patient Name: _____ Date of Birth:_____ PRESERVATION DENTAL OFFICE OF DR. WILLIAM S. DEMRAY 03_2013 PRESERVATION DENTAL Office of Dr. William S. Demray Notice of Privacy Practices Acknowledgement and Consent I hereby give my consent for Preservation DentalRESULTS FOR
Preservation Dental ® is located at 371 E. Main Street in Northville, Michigan 48167.. Patients are seen by appointment only. Appointments are scheduled by phone or in person. Schedule your appointment by calling (248) 348-1313. BUY IVERMECTIN ONLINE ON 🔳 WWW.PHARMO.STORE 🔳 Preservation Dental ® is located at 371 E. Main Street in Northville, Michigan 48167.. Patients are seen by appointment only. Appointments are scheduled by phone or in person. Schedule your appointment by calling (248) 348-1313. PRESERVATIONDENTAL.ORG preservationdental.org DATE OF BIRTH TODAY’S DATE endocrine 17. Diabetes (high blood sugar)? Yes No Don’t know 18. Frequent urination (six times/day), kidney disease or dialysis? Yes NoDon’t know
PATIENT CONSENT FORM Patient Consent Form Request to Release Dental Records 371 E. Main St. Northville, MI 48167 238-348-1313(p) 248-348-1363(f) Patient Name: _____ Date of Birth:_____ PRESERVATION DENTAL OFFICE OF DR. WILLIAM S. DEMRAY 03_2013 PRESERVATION DENTAL Office of Dr. William S. Demray Notice of Privacy Practices Acknowledgement and Consent I hereby give my consent for Preservation DentalRESULTS FOR
Preservation Dental ® is located at 371 E. Main Street in Northville, Michigan 48167.. Patients are seen by appointment only. Appointments are scheduled by phone or in person. Schedule your appointment by calling (248) 348-1313. BUY IVERMECTIN ONLINE ON 🔳 WWW.PHARMO.STORE 🔳 Preservation Dental ® is located at 371 E. Main Street in Northville, Michigan 48167.. Patients are seen by appointment only. Appointments are scheduled by phone or in person. Schedule your appointment by calling (248) 348-1313. PRESERVATIONDENTAL.ORG preservationdental.org DATE OF BIRTH TODAY’S DATE endocrine 17. Diabetes (high blood sugar)? Yes No Don’t know 18. Frequent urination (six times/day), kidney disease or dialysis? Yes NoDon’t know
PATIENT CONSENT FORM Patient Consent Form Request to Release Dental Records 371 E. Main St. Northville, MI 48167 238-348-1313(p) 248-348-1363(f) Patient Name: _____ Date of Birth:_____ PRESERVATION DENTAL OFFICE OF DR. WILLIAM S. DEMRAY 03_2013 PRESERVATION DENTAL Office of Dr. William S. Demray Notice of Privacy Practices Acknowledgement and Consent I hereby give my consent for Preservation DentalRESULTS FOR
Preservation Dental ® is located at 371 E. Main Street in Northville, Michigan 48167.. Patients are seen by appointment only. Appointments are scheduled by phone or in person. Schedule your appointment by calling (248) 348-1313. BUY IVERMECTIN ONLINE ON 🔳 WWW.PHARMO.STORE 🔳 Preservation Dental ® is located at 371 E. Main Street in Northville, Michigan 48167.. Patients are seen by appointment only. Appointments are scheduled by phone or in person. Schedule your appointment by calling (248) 348-1313. PRESERVATIONDENTAL.ORG preservationdental.org DATE OF BIRTH TODAY’S DATE endocrine 17. Diabetes (high blood sugar)? Yes No Don’t know 18. Frequent urination (six times/day), kidney disease or dialysis? Yes NoDon’t know
PATIENT CONSENT FORM Patient Consent Form Request to Release Dental Records 371 E. Main St. Northville, MI 48167 238-348-1313(p) 248-348-1363(f) Patient Name: _____ Date of Birth:_____ PRESERVATION DENTAL OFFICE OF DR. WILLIAM S. DEMRAY 03_2013 PRESERVATION DENTAL Office of Dr. William S. Demray Notice of Privacy Practices Acknowledgement and Consent I hereby give my consent for Preservation DentalRESULTS FOR
Preservation Dental ® is located at 371 E. Main Street in Northville, Michigan 48167.. Patients are seen by appointment only. Appointments are scheduled by phone or in person. Schedule your appointment by calling (248) 348-1313.* Patient Forms
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WE ARE OPEN!
We look forward to seeing your smile behind the mask! The team at Preservation Dental will reach out to reschedule all the missed appointments, but if you’re ready and waiting…please feel free to give us acall!
Our facility follows OSHA standards, guidelines and recommendations from the CDC, the American Dental Association and the Michigan Dental Association to assure the health and safety of our patients, our teamand our community.
_WE HAVE TAKEN ENHANCED HEALTH AND SAFETY MEASURES. AN INHERENT RISK OF EXPOSURE TO COVID 19 EXISTS IN ANY PUBLIC PLACE WHERE PEOPLE ARE PRESENT. COVID 19 IS AN EXTREMELY CONTAGIOUS DISEASE THAT CAN LEAD TO SEVERE ILLNESS AND DEATH. BY ELECTING TO HAVE TREATMENT AT PRESERVATION DENTAL YOU VOLUNTARILY ASSUME RISKS RELATED TO EXPOSURETO COVID 19._
WELCOME TO PRESERVATION DENTAL® If you are visiting for the first time, take a moment to “meet” our professional staff and learn about our practice. Hello again if you are returning…and thanks. It is always a pleasure to attend the “White Coat” ceremony at my alma mater, University of Detroit Mercy. It is an event where they welcome new students to the dental program – in hygiene and in dentistry. The students take a professional oath – and it is always a great reminder for me, and for my colleagues in the audience. I would like to share it with you. In light of all I hold sacred, in the presence of my family, friends and teachers, I pledge to fulfill my obligation as a member of the healing professions. My responsibility is to promote the health of the community and the persons I serve. The health of my patients will be my firstcommitment.
My privileges depend upon the trust of my patients. I will not violate that trust. I will respect all that is confided in me. I will not doharm.
I will honor my patients’ dignity. I will be their zealous advocate, guided by their will, sensitive to their feelings, needs and thoughts. I respect and cherish the lives of all persons. I will not discriminate against any person in my decisions and care. I recognize the limits of my competence. I will seek the knowledge and inspiration of my colleagues whenever my patients’ needs require. I will strive to improve the knowledge and skills I profess to have. I am responsible for contributing to an improved community. I will strive to prevent disease and to correct adverse social conditions. I will serve as both a teacher and a role model for my patients, my successors, and the public. I am responsible for upholding my profession’s integrity. I will strive to counsel those deficient in character or competence and expose those who engage in fraud or deception. I will not use my medical knowledge in any way contrary to the laws of humanity. With this oath, I willingly assume these responsibilities. If I honor this oath, may I be granted fulfillment and joy in my practice of the art, respected while I live, and remembered with affection thereafter. At Preservation Dental® we do our best to honor this professional oath. We offer personalized service and individual care choices for patients of all ages – from children to teens to adults to senior citizens – we tailor treatment plans to meet individual needs. The philosophy of our staff is one of care and concern, and the promotion of current clinical information and patient education. Our team is trained to help you find the most affordable solution to your dental needs and to make dental visits fit your busy schedule. It is a pleasure to welcome you to PreservationDental.com, enjoy your stay. If we can be of further assistance, contact us by phone, email or a personal visit to our historic location. _WILLIAM S. DEMRAY, DDS_MORE INFORMATION:
Preservation Dental® is located at 371 E. Main Street in Northville, Michigan 48167. PATIENTS ARE SEEN BY APPOINTMENT ONLY. Appointments are scheduled by phone or in person. Schedule your appointment by calling (248) 348-1313.LOCATION:
HOURS OF OPERATION:
Monday:Â Â 8:00 a.m. until 6:00 p.m. Tuesday:Â Â 8:00 a.m. until 6:00 p.m. Wednesday:Â Â 8:00 a.m. until 7:00 p.m. Thursday: Office Closed Friday:Â Â 8:00 a.m. until 5:00 p.m. Saturday: Office Closed Sunday: Office Closed © 2020 Preservation Dental.* Home
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