No insurance? No problem! Save money and put your best smile forward with our in-house membership plan. Learn more.

Patient Forms

Please download and fill out our digitally fillable Patient Registration and Medical History. After you have completed the forms, please make sure to bring them with you on your first visit to our office. The security and privacy of your personal data are one of our primary concerns and we have taken every precaution to protect it.

Technical Note

You will need Adobe Acrobat Reader to view our forms. Please download the free Acrobat Reader if it is not already installed on your system.

Your journey to a healthy smile starts here!

Contact or request an appointment with us in Decorah or Lansing today!