New Patients

 

 

For each new patient, please print, fill out and bring the following forms with you at your first appointment.

 

Patient Information Form

 

Dental History Form

 

Medical History Form

 

 

The following form is optional to print and is for your reference only.

 

Updated Notice of Privacy Practices

 

Updated Notice of Privacy Practices (en espaƱol)

 

 

Thank you. We look forward to meeting you and welcoming you into our dental family.

 

Rhinelander Dental | 803 Lincoln St | Rhinelander, WI 54501

Phone: (715) 365-5900 |  Fax: (715) 365-5903

Rhinelander Dental Proudly Serves the Following Areas around Rhinelander, Wisconsin:

Rhinelander, Eagle River, Harshaw, Tomahawk, Three Lakes, Pelican Lake, Crandon, Minocqua, Lake Tomahawk and more