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

Pat Manyo
Very professional, friendy and perfection when they treatrd me!
5 Stars
k. r.
Even though I knew it wouldn't be comfortable placing my new crown, everyone was great, kept me calm and before I knew it, I was done! Thank you so much!
Denise
Always a good experience with Kewaskum Dental! I wouldn’t trust anyone else! Professional, gentle, thorough and efficient.
Todd Flitter
friendly atmosphere , smiling faces, great dog and always have the patients 1st
Judith Steiner
Everyone is friendly & staff professional
Jim Torbenson
Beautiful office, great tech and communication. Friendly, efficient staff.
and gentle giant greeting dog!
Janet Halfmann
Was able to get a last minute appointment for my husband without difficulty and treatment on same day. He was very pleased with attentive staff and dentist.
Tracy
My son had his two front top teeth knocked out at baseball practice, Kewaskum Family Dental's staff were more than accommodating & took excellent care of my child. The dentists couldn't have done a better job, they did excellent work. They even sqeezed my son into an already tight schedule, so he'd have his crowns in place just in time for senior pictures. Thank you everyone for being the amazing people i've known you to be over the years, you are the best!
Gary Malcolm
My wife has been going to Kewaskum Family Dentistry for over 3 years and I am really glad she convinced me to give them a try. My experience there was better than I expected.
Dhana OBryant
Calm and soothing atmosphere. Staff is really good.