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      New Patient Forms

      You may access the following forms to assist us with your care. Please print and fill out the desired form, then bring it to your appointment.

      • New Patient Health History (Under 18)
      • New Patient Health History (Adult)
      • Privacy Policy

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      Click the Adobe logo to download.

        
      Our Locations
      Dentists
      Suresmile
      Adult Treatment
      202 S. Gammon Road, Suite 150, Madison, WI 53717 P: (608) 664-9500 F: (608) 664-9566
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