Patient Forms – Cottage Grove

COVID Screening

Patient Information

Medical and Dental History

HIPPA Acknowledgement & General Consent

Send X-Rays to Cottage Grove email: CGoffice@excellenceindentistry.com

Patient Forms – Madison

COVID Screening

Patient Information

Medical and Dental History

HIPPA Acknowledgement & General Consent

Send X-Rays to Madison email: inquiry@excellenceindentistry.com

Other

Non-Discrimination Statement – Madison

Non-Discrimination Statement – Cottage Grove