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Peterson Fmaily Dentistry - Natalie Peterson, DDS

New PatienT Forms

Remember to fill out the form in black ink...and flosss those teeth!

New patients please fill out this form before your visit. (pdf)

I Had An Extraction. Now What Do I Do?

Proper care of the mouth following most dental procedures can reduce complications and speed the healing of the surgical area. Care form (pdf).

Consent for Treatment Form (pdf)

NTI Tension Suppression System Informed Consent Form (pdf)

NOTICE OF PRIVACY PRACTICES

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully. Form (pdf)

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Peterson Family Dentistry 262-820-3330
W249 N5245 Executive Drive Suite 206 Sussex, WI 53089