New Patients

Patient Forms, Map and Directions to Milwaukee Office

Thank you for choosing Smiles on Broadway.  Your first visit with us will establish a vital foundation for our relationship with you.  During the first visit, we make sure to obtain important background information, like your medical history as well as information pertaining to your current dental coverage and any concerns or questions you have for our staff.  To understand what to expect for your first visit to our practice, please read through this page.  You'll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. 

Mission Statement
Our practice is working together to realize a shared vision of uncompromising excellence in dentistry.

To fulfill this mission, we are committed to:

  • Listening to those we are privileged to serve.
  • Earn the trust and respect of patients, profession and community.
  • Exceed your expectations.
  • Ensure a creative, challenging and compassionate professional environment.
  • Strive for continuous improvement at all levels.

New Patient Forms

Please  Click Here  to download your forms. You MUST save the forms to your computer before completing them.

You may bring these forms with you on your first visit or email them back to our office by clicking HERE.

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

In addition to your forms, please bring your insurance card and driver's license to your visit.

What To Expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Be sure to have all of your paperwork prior to your appointment and have all of your insurance information with you when you arrive. If you have any questions, please feel free to contact our office and our staff would be happy to assist you. 

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