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Major Dental Clinics
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Milwaukee New Patient Forms

Milkwaukee New Patient Forms

If you are new to our Milwaukee location, please fill out all of the following forms before your visit to help with wait time at the office. 

new Patient Information
Communications Release
Insurance Information
MediCAL History
COVID-19 PRE-Screen
Major Dental Clinics

Your Smile is Our Passion

© 2019. Major Dental Clinics. All rights reserved.
Milwaukee
  • 788 N Jefferson Suite 880 Milwaukee, WI 53202
  • (414) 276-4262
  • M-Thur 8-5, Closed Fri and Closed Sat
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Chicago
  • 1030 W Higgins Suite 260 Park Ridge, IL 60068
  • (773) 777-1111
  • Monday - Friday 9-6
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Phones:Chicago (773) 777-1100; Milwaukee (414) 276-4262
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© 2021. Major Dental Clinics. All rights reserved.