Patient Forms

Welcome to Eastside Periodontics! We encourage you to complete your patient forms before your appointment with Dr. Jack Schwarcz. This will make your appointment more efficient. Contact our office today with any questions and to schedule a visit with our periodontist in Center Line, Michigan. We are happy to help!

Patient Info Form

Financial Options

Dr. Jack Schwarcz and our team are committed to making your care easy to afford. We are in network with most major insurance carriers. Contact Eastside Periodontics for details. We also accept the following forms of payment:

  • Cash
  • Check
  • Credit card
  • CareCredit

CareCredit is a third party financing company that offers low- and no-interest payment plans. We welcome you to contact our office today to learn more and to schedule a visit with our periodontist in Center Line, Michigan.

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Special Offers

New Patient Special
Dr. Jack Schwarcz and our team are excited to welcome you to Eastside Periodontics! We are pleased to offer a free new patient exam. That’s a value of $125! Feel free to contact our office today to learn more and to schedule a visit with our periodontist in Center Line, Michigan.

Patient Educational Videos