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

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.
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