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(920) 734-7730

Outstanding Service and Experienced Dental Adivce


Patient Forms

New Patients

Since we value your time as much as you do, you can print our registration forms, fill them out at your convenience and bring them to your first dental appointment.

New Patient Registration Form

Current Patients

If it is time for you to fill out a new health history and you would like to do it at your convenience, simply print the form, fill it out and bring it in with you to your next dental visit.

Health History

HIPPA Consent

If you need to make a change to your HIPAA consent form you may simply print it, fill it out and bring it to your next dental visit or drop it in the mail.

HIPAA Consent

Notice of Privacy Practices

We take your privacy serious. This form shows how we protect your privacy.

Privacy Practices


Our Services


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