Dentist Fennimore New Patient Forms

Please click on the links below, print out the forms, fill them out and bring them to your appointment. This will save you time and give you the opportunity to review our policies.

 

Upon arrival our patient coordinator will enter your information into our patient file. If you have insurance, please bring your card with you.

 

Health History Form

 

Informed Consent for General Dental Procedures

 

Payment Policy

 

Notice of Privacy Practices Patient Acknowledgement