New Patients

New Patient Information

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


Child Medical History


Consent for Use and Disclosure of Health Information


Financial Policy


  • Contact Us

  • Luck Dental Clinic
    308 1st Street South,
    Luck, WI 54853
    (715) 472-2211

  • Schedule Appointment Online