Forms

Please fill out the forms below prior to coming in for your first appointment. The information on these forms will allow us to prepare for your visit and ensure an efficient and comfortable visit. If you have any questions related to the forms or questions being asked on the forms, please feel free to contact us at (715)223-4844. Thank you for your cooperation, and we look forward to your visit.

Click the button below for the health forms, print a copy and please complete prior to your appointment.
( Forms are in PDF format)

If you do not have Adobe Reader (PDF) download it HERE

Payment Policy

In an effort to keep fees down while providing the highest quality care, we have set a variety of payment options as follows:

• Payment is due at the time services are rendered.
• A discount will be given if payment is in the form of cash or check.
• We accept VISA, MasterCard, Discover and American Express.
• Special financing and low monthly payment options are available through Care Credit. Contact our Financial Coordinator to establish an account with Care Credit.