Waushara Dental Associates
322 Broadway St.
Berlin, WI 54923
N2888 State Road 22
Wautoma, WI 54982
MEET THE DOCTORS
Patient Registration-contact information, dental insurance, etc.
Medical History-let us know about your previous or current medical condition
Financial Policy-understand our payment policy for services rendered
Notice of Privacy Practices-this form describes how your dental information is protected
Please print and complete these forms and bring to your first appointment.