(262) 567-1323
1300 Summit Ave #101, Oconomowoc, WI 53066
hello@lakelandfamilydentalwi.com

New Patients

New Patient Forms

We have made our new patient forms available to you as Adobe Acrobat files. For your convenience, we recommend printing and completing these forms at home.

Please remember to bring your completed forms with you for your first appointment. If you have any problem getting these files to print properly, please call our office and we will gladly send or fax them to you.

Patient Information Medical History Dental History

Financial Information

We will discuss your cost of care up front and happily answer your questions. You’ll find that we accept most insurance plans to defray part of the treatment costs, and we will work with your insurance company to secure your maximum benefit. In addition, we will file your insurance claims as a convenience.

For your payment portion or if you do not have dental insurance we gladly accept cash, checks and most credit cards. We offer a senior discount and have a prepayment discount available, ask for details.

For the ultimate payment flexibility, consider financing your dental care. We work with a local lending institution to offer you 12 months of interest-free financing, with no monthly fee or minimum purchase, ever! Ask us how to apply for this fantastic program, and get started on your dental work now!