Madison Dentist Phone
First Choice Dental

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Middleton Health History Form

Patient Registration

NOTE: Online registration forms take 24 hours to reach us. If your appointment is less than 24 hours from now, please arrive 10 minutes EARLY for your appointment and complete your paperwork once you arrive at our office.

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.