Waushara Dental Associates
322 Broadway St.
Berlin, WI 54923
(920) 361-3800
N2888 State Road 22
Wautoma, WI 54982
(920) 787-3200
Toggle navigation
WELCOME
MEET THE DOCTORS
MEET THE HYGIENISTS
OUR TEAM
OUR OFFICE
PATIENT CENTER
FORMS
CONTACT
Patient Forms
Patient Registration - New patient registration
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.