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

Sharon Brantner
9 hours ago
Very nice staff, Dr .Klasinski and assistants very nice and easy to talk to and answer your questions with out rushing. Will be going back!!
Lauren Miller
2 days ago
Always feel super comfortable with everyone’s care whether it’s for myself or my toddlers. We all love the atmosphere and the transparency from the team. The receptionists are also incredible and helpful. This is the first dentist office I’ve ever felt comfortable going back to. Thank you!
Daniel DiCriscio
2 days ago
Phenomenal place! Dr.Klasinski is a very awesome! Very informative about the process and creating a future plan! 10/10 would recommend for anyone seeking dental care!
Chris Riley
4 days ago
Everyone was very kind and helpful. You have a great team working there! Highly recommend this Dentistry!!
David Kernan
4 days ago
recommends
Glad I found Kewaskum Dentistry!!! Great staff and I am 100% satisfied with all of the services they have provided!
Natalie Kaehler
5 days ago
I had to have 2 caps put in due to a mishap while eating popcorn. Everything went amazingly smoothly and the caps fit absolutely perfectly. Thank you Kewaskum Family Dentistry!
Evan
5 days ago
They are a very friendly staff, efficient, and a clean dentistry. Did x-rays and a cleaning. Was out of there in less than an hour. Highly recommend!
Sara Hunsicker
5 days ago
recommends
Simply amazing. Dr Klasinski was very patient while I worked through having a filling. I’ll be back!
Michael Elert
5 days ago
Great experience, friendly staff and great location.
Myron Strobel
5 days ago
Awesome service and care