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Patient Forms and Resources

Your time is valuable. Save time by completing your Health History at your convenience at home.

Complete your patient forms online here and they will be electronically sent to our office. If you have any questions, please feel free to call our office at 608-845-6127.

New Patient Forms

HIPPA Notice of Privacy Practices

Patient Portal

Because good communication is essential to high-quality, compassionate health care, Main Street Dentists offers a variety of services to patients and families who are limited English speaking or Deaf/Hard-of-Hearing. Statement of Nondiscrimination. 15-Language Taglines.

Notice of Nondiscrimination

ADA 15-Language Tagline

Emergency Home Care - Orthodontics.pdf

Home Care Instructions

Home Care Instructions - Crown and Bridge

Home Care Instructions - Endo

Home Care Instructions - Extractions

Home Care Instructions - Implants

Home Care Instructions - Ortho

Emergency Home Care - Orthodontics

Home Care Instructions - Scaling and Root Planing

Operatory Room