• Patient Portal
  • Services
    • Complete Family Dentistry
      • Comfort Dentistry
      • Tooth Colored Restorations
      • Crowns and Bridges
      • Cosmetic Dentistry
  • Clinic & Technologies
    • Clinic Overview
    • Technology
  • For Patients
    • New Patient
    • Financial Information
    • Patient Forms
  • Meet Our Team
    • Dentists
    • Meet Our Team
  • Smile Gallery
  • Contact
BLOG

Blog 715.834.6603
  • Patient Portal
  • Services
    • Complete Family Dentistry
      • Comfort Dentistry
      • Tooth Colored Restorations
      • Crowns and Bridges
      • Cosmetic Dentistry
  • Clinic & Technologies
    • Clinic Overview
    • Technology
  • For Patients
    • New Patient
    • Financial Information
    • Patient Forms
  • Meet Our Team
    • Dentists
    • Meet Our Team
  • Smile Gallery
  • Contact

Patient Forms

Patient Forms

New patients, please fill out the following 4 forms before your first visit:

New Patient Registration form: https://patientviewer.com/WebFormsGWT/GWT/WebForms/WebForms.html?DOID=71906&WSDID=65503

Medical History: https://patientviewer.com/WebFormsGWT/GWT/WebForms/WebForms.html?DOID=71906&WSDID=65364

HIPAA: https://patientviewer.com/WebFormsGWT/GWT/WebForms/WebForms.html?DOID=71906&WSDID=65366

New Patient Record Release: https://patientviewer.com/WebFormsGWT/GWT/WebForms/WebForms.html?DOID=71906&WSDID=73022

 

Additional Resouces:

Hillside Dental Care After Extraction/Root Canal Form

 

Book Appointment

Keeping Your Dental Visits

The Washington Post (7/2, Searing) included dental visits in a list of “five health practices that experts say you might want to reconsider delaying” despite the coronavirus pandemic. Dental problems “early on – like very small decay in a tooth […]

Read More

An Experience That Will Leave You Smiling


507 MAIN STREET
EAU CLAIRE, WI 54701

715.834.6603
[email protected]
Our Services
Clinic & Technology
Testimonials
For Patients
Meet Our Team
Smile Gallery
Contact Us
Privacy Policy

Connect

BLOG
©2023 Hillside Dental. All Rights Reserved. Website Design and Development by Stellar Blue Technologies.