Lakeland Family Dental
A Great Dentist

New Patient Forms

We have made our new patient forms available to you via the Modento Patient Portal.  It's easy to use, secure with 2 factor authorization, and HIPAA Compliant.  From our Patient Portal, you can fill out new forms or make changes to existing forms anytime, anywhere using your cell phone or computer!  It's available from your computer or phone's internet browser, or for download in app form.

Please remember to complete your forms before your first appointment. If you have any problem with the Patient Portal, please call our office and we'll be happy to help!

To proceed to our Patient Portal, click the button below. 

 

 

Have Questions? Get in Touch
If you have difficulty using our website, please email us or call us at (262) 567-1323
View the ADA Accessibility Statement