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forms and documents from our office.

 

 

Welcome to our office:

These are the basic introductory forms that we request that you fill out when you visit our office for the first time. 

 

  


Periodic Health History Update:

 

If it's been more than 2 years since we updated your health history, you can save time at your next appointment by printing and filling out this form before you arrive.

  


Instructions for Flossing and Brushing Your Teeth:

Adapted from the ADA website, here is a printable 1-sheet guide for the correct way to care for your teeth.

 


Antibiotic Protection for Heart Problems:

Here is an edited version of the American Heart Association's recommendation for the preventive taking of antibiotics for dental appointments.  

 


Antibiotic Protection for Artificial Joints

 

This is the full version of the American Association of Orthopedic Surgeons' advisory statement regarding their recommendation for the preventive taking of antibiotics for dental appointments.  

 


HIPPA Privacy Form

Part of our periodic forms is the new federally required HIPPA form.

 

 


 

Download Acrobat Reader:

You will need Adobe Acrobat Reader to download these documents.  If you do not already have Acrobat Reader, click on the icon to the right in order to retrieve our documents in the preferred manner (it's free!).

 

  Get Acrobat Reader

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Precision Dentistry in a Comfortable Environment

Milwaukee: 414 / 962 - 1800

Toll  Free:  877 / 962 - 1800

©2008 by Timothy O. Hart

1720 E. Lake Bluff Blvd / Shorewood, WI /  53211 / 414-962-1800

Design and maintenance of this site is performed entirely and directly by Dr. Tim Hart.  No outside agency is used.  Please direct your comments to Dr. Hart's email.  Thank you.