As our patients, your health, comfort, and safety are our topmost priorities. That’s why Dr. Leitner and our staff always provide patients with quality, trustworthy care in a comfortable environment. Our Grand Haven dental practice features the latest in technology for greater precision and lasting, effective results.
John O. Leitner, DDS, PLC
Professional Arts Building
575 Robbins Rd. Suite B. Grand Haven, MI 49417
Phone: 616-842-2850
Fax: 616-842-7205
Please complete and email these forms so we can expedite your first visit.
Patient Registration/Medical History Form
Notice of Privacy Practices
HIPPA Privacy Form
Patient Record Transfer Form
TMJ/Jaw Questionnaire
Sleep/Snoring Questionnaire
Financial Agreement
Email: randi@mymichigandentist.com
If you have any questions, don’t hesitate to contact our Grand Haven office at (616) 842-2850 to schedule your consultation with Dr. Leitner. We look forward to hearing from you and welcoming you into our Michigan dental family.