FORMS

Convenient Dentistry in La Crosse, WI


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Below you can download and fill out documents for Coulee Family Dental. If you have any questions or you do not see a document you need, contact us here or call us at 608.782.3102.

Welcome Registration

Medical History

HIPAA Acknowledgement

HIPAA Privacy Notice

Non-Discrimination Policy

Records Release

Can't find what you're looking for? Simply call our friendly staff at 608.782.3102.

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