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Please click on the link, print forms, and complete the paperwork.  Please bring the completed forms to your appointment.  If you wish, you may scan and email the completed forms to our office email prior to your appointment.  Thank you.

 

 HHBlue.doc- This is our health questionaire and registration.

 Financial Policy.pdf  - This outlines our payment policys, etc.

 NOTICE_OF_PRIVACY_PRACTICES.pdf - You may be familiar with HIPAA














1525 N Fairway Ln, Elkhorn WI  53121

(262) 723-3296

(262) 723-2556

thomasdental@elknet.net