(920) 757-9440
New Patient Forms
(920) 757-9440
Contact Us

Patient Resources

If you would like to request an appointment, contact us today! We are always looking to  provide quality dental care for you and your family. Scheduling an appointment has never been easier. See our forms below for inquiries.
New Patient Forms
Appointment Request
Patient Feedback Form
Refer Our Office
Patient Information
HIPAA Privacy Practice

Books

The Oxygen Advantage

Patrick McKeown

8 Food Pillars

Dr. Susan

8 Food Pillars

Dr. Susan

The Very Stuffy Nose

Kelley Richardson

Sleep Interrupted

Steven Y.Park,M.D

Provider Referral List

Birth/ Lactation/ Pospartum

Cynthia Dortch

Birth, Postpartum, Lactation | Green Bay Doulas

Jenni Johnson 

Breast, Bottle and Beyond; IBCLC, Lactation Consultant

chiropractic

Sprout Family Chiropractic:

Dr. Kali Sawyer

Well Within Chiropractic:

Dr. Kate Williams

Therapy Time For K.I.D.S.

Pediatric speech, language, feeding and oral motor therapy services

Soteria Wellness Holistic Therapies

Dawn Olsen; Licensed Massage and Bodywork Therapist, CranioSacral Therapist

Renew Physical Therapy & Wellness, LLC

Kim Johnson; Physical Therapy, CranioSacral Therapy

Myofunctional THERAPIST

Becca Rose

(in-person and virtual options) – Certified Myofunctional Therapist, Sleep Coach, Certified Buteyko Breathing Instructor Myofunctional Pathways, LLC

Laura Eckhardt (virtual only)

Certified Orofacial Myologist
Schedule Your Consultation

Appointment Request

You can pay for your office visits and any treatment by cash, check and credit card at the time of treatment. We accept most dental insurance plans, with all co-pays and treatment not covered by insurance due at the time services are rendered. We also offer financing through Care Credit.

To discuss your payment options or insurance coverage, please call 920-757-9440.

Patient Type(Required)
Name(Required)
Address

Patient Feedback Form

You can pay for your office visits and any treatment by cash, check and credit card at the time of treatment. We accept most dental insurance plans, with all co-pays and treatment not covered by insurance due at the time services are rendered. We also offer financing through Care Credit.

To discuss your payment options or insurance coverage, please call 920-757-9440.

Was this your first visit?
The office staff was friendly
My questions were satisfactorily addressed by the technician or dentist.
It was easy to check out and pay after my appointment.
It was easy to set my appointment.
I was greeted by the receptionist when I arrived.
The dentist was friendly.
I am happy with the quality of the service I received.
How likely is it that you would recommend our dental office to your family members, co-workers, and friends?

Refer Our Office

You can pay for your office visits and any treatment by cash, check and credit card at the time of treatment. We accept most dental insurance plans, with all co-pays and treatment not covered by insurance due at the time services are rendered. We also offer financing through Care Credit.

To discuss your payment options or insurance coverage, please call 920-757-9440.