For each new patient, please fill out, print and bring the following forms with you to your first appointment.
We can also mail forms to you if you'd prefer. Please call our office to make arrangements.
If you are unable to do so, please arrive 15 minutes prior to your appointment to fill out the necessary paperwork.
The following form is optional to print and is for your reference only.
Thank you. We look forward to meeting you and welcoming you into our dental family.
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301 East Main Street | Mount Horeb, WI
Mt Horeb Dental is proud to serve the following areas around Mount Horeb, WI:
Verona, Dodgeville, Oregon, Fitchburg, Middleton, Sauk City and more