Valleau, VanDeven & Massie
A Great Dentist

New Patient Forms

Once you have called to schedule an appointment, we ask that the following forms be filled out and submitted to our office. If you are unable to fill the forms out in advance, please remember to show up 20 minutes early for your child's first appointment to allow adequate time to fill out the forms. Feel free to give us a call if you have any questions. Thank you!

Rockford Forms

At this time we are not able to provide you with online forms for our Grand Rapids location (Rockford only). Grand Rapids online form capability COMING SOON!


**Valleau, VanDeven, and Massie Dentistry for Children cares about your privacy and personal information. The forms on our website meet federal Health Insurance Portability and Accountability Act (HIPAA) requirements and reasonable measures have been taken to secure your information. Please contact us if you have any questions or are uncomfortable providing this information online.

Have Questions? Get in Touch
If you have difficulty using our website, please email us or call us at (616) 455-1301
View the ADA Accessibility Statement

To all of our patients and families:

On behalf of everyone at Valleau, VanDeven, and Massie Dentistry for Children, we thank you for being a part of our family and for your continued support and patience.

As of June 1st, our practice has resumed patient care with many extra COVID-19 precautions. The quality of your child's treatment will continue to be provided at the highest level. Please review our new protocols to know what to expect for your child's appointment. 

For all patients coming in this Fall and Winter, you will be receiving a letter that explains the many changes made at our office to keep everyone safe and healthy, specifically during the COVID pandemic. Visit our safety info page here for more info.  These will change periodically as we stay up to date on the guidelines outlined by our professional and scientific authorities.

Thank you for being on this journey with us and trusting us to care for your children.

See you soon, friends!