Teenager dentist in Hudson, Wi

Teledentistry Forms

For patients of record, in the event of an emergency click here to fill out teledentistry forms.
We will be in touch with you as soon as possible.

If you are a NEW patient, please also fill out the New Patient forms after filling out the Teledentistry forms

Examples of dental emergencies:
– Tooth pain waking child up at night
– Facial swelling due to infected tooth
– Knocked out permanent tooth
– Broken tooth with exposed nerve

(links work best in Google Chrome browser)

Frenectomy Forms

New Patient Forms

THROUGH MAY 4TH: The New Patient forms should only be filled out by those requesting emergency Teledentisry services

Other Forms

Record Release Form

Authorization for a Caregiver Form