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New Patients Welcome!

Welcome

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




Registration Form



Health History Form



Financial Policy



HIPAA



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       info@burlingtondentistry.com


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