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

Donna Hoss
The Dentist and staff are wonderful. Kind, knowledgeable, understanding. Glad I found them.
Tony Fleischman
Kewaskum Family Dentistry has been my provider for years. The team is professional, personable, and caring. And the new facilities are fantastic!
Jack nash
A pleasant experience as always. Never a worry about being late. Always excellent care.
Susan Gorski
I was there for only a cleaning, but everyone there is always friendly. And the offices are amazing, clean and inviting.
Kari Krueger
I went in for a filling and crown and everyone at KFD involved were friendly, caring and made sure I was ok and was a great experience. Would recommend them to anyone.
Chris Kuen
Today was my appointment for a crown. Everything went well, dentist and his assistant very friendly and explained everything very well as to what they were doing. I really do like going to the dentist for any work that is being done on my teeth.
Jim Torbenson
Beautiful office, great tech and communication. Friendly, efficient staff.
and gentle giant greeting dog!
Markus Helman
Very polite and do a fantastic job!
KYLIE Klein
Nice people. Good work.
Sandy Leitheiser
Great experience. Very kind staff and great communication.