Call Today! (262) 763-2141

New Patients Welcome!


Below you will find patient forms and information about our policies.

Registration Form

Health History Form

Financial Policy


Consent and Disclosure

Privacy Practices

Patient Forms
New patients will want to fill out and bring the registration and health history forms to their first appointment. The other forms outline our policies and standards. Feel free to read through those and bring any questions about that information to your first appointment as well.

240 N Main St. Burlington, WI 53105       (262) 763-2141

© 2012 Burlington Family & Laser Dentistry. All rights reserved. Site by 4WARD DESIGN      home | practice | services | team | gallery | resources | contact