Forms and More:

The printable forms are available in Adobe PDF format. You must have Adobe Reader 7.0 and above to view, electronically complete and print these files. If you do not have Adobe Reader 7.0 or above, you may click here to download the most recent installer.

FORMS

NEW PATIENT
(New Patient Registration Form)
(Patient Health History Form)
(Privacy Forms)

INFORMATION
(Insurance Facts)
(White Smile For Life)

Privacy
(Our Privacy Practices)

PATIENT SATISFACTION SURVEY
(Patient Survey Form)
Please let us know how we are doing

LINKS

www.ada.org
Animated-tooth.com
Adobe reader 7.0

American Dental Association web site
Dental situations explained with pictures
Program needed to fill out and print forms from this web site

 

 

 

Call Us

phone: 414-762-0200
fax: 414-762-2857



 

Office Hours

Monday - Thursday: 8:00 am to 5:00 pm

Open Select Fridays By Apt Only

Emergency After-Hours Care available for our patients of record

 

 

Stop By

8725 S. Howell Ave
Oak Creek, WI 53154

 

 

Most Insurance Accepted
Flexible payments that meet your budget