Patient Forms - Dentists in Waukesha, WI 53189

W247 S3114 Prairie Avenue
Waukesha, WI 53189

Driving Directions

262-544-4404

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  •  New Patients Welcome
What is CEREC? Sedation Patient Guide
HIPPA Regulations Rate a Dentist Reviews

Our Special Offers

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ZOOM Whitening only $190 ($496 Value!)
MUST be redeemed in the month of March 2012

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Testimonials

Thank you Dr Jeff O'Brien for your great surgical skill.  I felt virtually no pain or discomfort after the surgery.  Tha....

P Szabo

Thanks to your staff for giving my family excellent care over the years.  It is great too see and hear a smile.  While c....

W Ballard

Dear Dr. Dennis O'Brien and Staff, "When you wish upon a star"  Thank you for making my wish come true.  I am dazzl....

G Young

Dear Dr. Race, Dr. O'Brien and staff, Honestly I don't write letters but I felt a desire to express my appreciation to all of....

T & C Walker

To the cast and crew of Sunset Dental Care I can't believe how the last three years have gone.  I remember sitting in Dr....

S Petrie

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Questions?

Office Hours

Monday

9AM-7PM

Tuesday

7AM-5PM

Wednesday

8AM-6PM

Thursday

8AM-5PM

Friday

8AM-5PM

Patient Forms

For your convenience, our New Patient Forms are available for download here in Adobe Acrobat PDF format

You can save time by printing out these froms and filling them in for your first visit - thank you! We look forward to getting to know you and helping you create the smile you've always dreamed of.

Thank you!

1.  Privacy Practices Acknowledgement

Privacy Practices Acknowledgement Form

2.  Patient Registration

Patient Registration Form

3.  Privacy Practices Notification

Notice of Privacy Practices Form

4.  Health History

Health History Form