Patient Forms

New Patient Forms – eCentral

Welcome to our New Patient Forms page! Here you’ll find everything you need to be ready for your first appointment with Dr. Zwier! Click to open each patient form below!

The forms at the top of the page are ready to print out, then fill out each form with ink. The forms at the lower part of this page are interactive. These allow you to fill in all of your answers digitally on your computer, then print the forms or attach them to an email and send them to newpatient@drpeterzwier.com.

Follow these simple steps to complete the digital interactive forms:
1. Click the form you’d like to open.
2. Complete the form by typing in your answers.
3. Right click and save the completed form.
4. Print.

Print-Ready Patient Forms

Patient Medical History

New Patient Info

Smile Survey

HIPAA Patient Consent

ESS & GASP Form (Sleep Apnea Test)

Medical History Update

Office Brochure

Digital Interactive Patient Forms

Interactive Patient Medical History Form

Interactive New Patient Info Form

Interactive Smile Survey Form

Interactive HIPAA Patient Consent Form

Interactive ESS & GASP Form (Sleep Apnea Test)

Interactive Medical History Update Form

Dr. Zwier
“My smile would not be near what it is today without you guys.”
Robert & Stacy Ann
“Your staff is very friendly and cordial. Dr. Zwier is very attentive and if you have an emergency will get you in right away. Good work! Pain free!”
Jane
“Everybody is always friendly and their schedule is very flexible. I like that they are open later on Tuesdays.”
Gayle

Contact Info

2100 Raybrook, SE, Suite 106
Grand Rapids, MI 49546
(616)541-9269