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