Patient Forms

Patient FormsBelow you can find the forms that our office may ask you to fill out. All you have to do is print them, complete them, and bring them to your appointment! If you have any questions or concerns, please feel free to contact us at 608.783.6384.

Patient Registration Form

Medical-Dental History Form

Privacy Consent Form

Neighborhood Smiles Privacy Policy

*You will need Adobe Acrobat Reader to open  this document. If you do not already have it, you can get it here.