Luck Dental Clinic’s New Patient Information Guide, WI

Feel free to print the appropriate forms below and bring to your appointment to save time.

Click to open the below forms

Adult medical history form for Luck Dental Clinic in Luck, Wisconsin

Adult Medical History

Child medical history form for Luck Dental Clinic in Luck, Wisconsin

Child Medical History

HIPAA form for Luck Dental Clinic in Luck, Wisconsin

Consent for Use and Disclosure of Health Information

Financial policy form for Luck Dental Clinic in Luck, Wisconsin

Financial Policy

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