Dental Exams and Services for New Patients

We are delighted to welcome you to our practice and are pleased that you chose us to serve your dental needs.

Please complete the following New Patient Forms and bring them, along with any dental insurance cards that might apply to you, to your first visit.

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

At your appointment we will take x-rays as part of your dental exam. To avoid a duplication of x-rays or the fees incurred to process them, please fill out and send the Authorization to Release Dental Records form to your prior dentist as soon as possible. If you prefer to call your prior dentist, please refer to the information on the form.

AUTHORIZATION TO RELEASE DENTAL RECORDS

Please note that full payment or insurance co payments and co insurance (your estimated portion) is due at every appointment as indicated in our Financial Agreement. Please read the Financial Agreement before your appointment as it is important that you have a clear understanding of our policies and procedures. If you have any questions we would be glad to assist you.

We look forward to meeting you. Thank you for choosing our dental practice.

Please see the Contact Us page for hours, directions, and a request for an appointment.

For more information on
offices in our dental family
PLEASE CLICK ON THE LINKS BELOW

ADDRESS

2117 CORPORATE DRIVE,
SUITE 200. WAUKESHA,
WI 53189

CONTACT US

262.522.7878