Patient Forms

Thank you for choosing Kewaskum Family Dentistry! Below you will find links to our online forms, or if you prefer, you can download them to print and fill out before you come in for your appointment.

Patient Forms

Thank you for choosing Kewaskum Family Dentistry! Below you will find links to our online forms, or if you prefer, you can download them to print and fill out before you come in for your appointment.

Patient Forms

Thank you for choosing Kewaskum Family Dentistry! Below you will find links to our online forms, or if you prefer, you can download them to print and fill out before you come in for your appointment.

New Patient Forms

Online Forms
PDF Forms

Why Our Membership Plan Might Be Right For You

No dental insurance? Children and adults can still receive the same great dental care with our membership plan.

  • Yearly membership plan to cover routine cleanings and exams and even emergency visits
  • Save money and receive the dental care you deserve
  • Payment options available

Why Our Membership Plan Might Be Right For You

No dental insurance? Children and adults can still receive the same great dental care with our membership plan.

  • Yearly membership plan to cover routine cleanings and exams and even emergency visits
  • Save money and receive the dental care you deserve
  • Payment options available

Why Our Membership Plan Might Be Right For You

No dental insurance? Children and adults can still receive the same great dental care with our membership plan.

  • Yearly membership plan to cover routine cleanings and exams and even emergency visits
  • Save money and receive the dental care you deserve
  • Payment options available

Michael Elert
Great experience, friendly staff and great location.
Mike Frederick
Great atmosphere and friendly staff. Very professional.
Andy Pipping
Entire experience was seamless. Also, the dentists, assistants and entire staff is professional and friendly. Top notch.
Catherine W
Every one was kind , patient, and actually listened to my concerns
I was exceptionally happy with the service I received
Cindy Horning
The Staff is so professional and Caring!
Maria Metke
Friendly staff!!
Addisyn Barrett
The dentist is amazing and the front desk people really try their hardest to get u scheduled when you need!
Wayne Sevick
Hygienist was on time and very thorough. Did a remarkable job. All went well and look forward to next visit.
Doug Bilgo
Always spend a very enjoyable visit with Dr. Sarah.
Tony Fleischman
Kewaskum Family Dentistry has been my provider for years. The team is professional, personable, and caring. And the new facilities are fantastic!