Kohl Dentistry

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New Patients

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New Patient Forms

At Kohl Dentistry we always welcome new patients! To make your first visit easier for you, we have provided easy access to the forms that are needed for new patients. Below are the four forms available for you to download, print and complete with the necessary information. You may bring the completed forms to your appointment or use our forms at our office.

New Patient Forms

Patient Registration
Child Medical History
Dental History
Medical History
Notice of Privacy Practice

Kohl / Peerenboom

Address:

1 Corporate Drive Suite 104

Wausau, WI 54401

Contact:

Phone: (715) 845-9297

Fax: (715) 843-6972

Email: frontdesk@gjkohl.com

  • Home
  • Meet the Doctors
  • Our Staff
  • Services
  • New Patients
  • Contact
  • COVID-19

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