New Patient Forms

1730 Springdale St. Mt Horeb, WI 53572

We are genuinely pleased that you have chosen us for your dental care. We are always excited to see new smiles coming through our door! In order to provide you with the best level of care, we need to get some information from you. Please fill out your new patient forms below, or plan to arrive 15 minutes early to your appointment to complete them in the office.

New Patient Form

Creating Smiles With A Gentle Touch

If you would like to know more about our cosmetic dental treatments, such as -

Teeth Straightening, Dental Implants and Smile Makeovers. You can sign up now to arrange a Complimentary Consultation.

It's a great opportunity to learn more about the treatment that’s right for you and to hear about our financing options.

Book Now

Village Smile Care. 1730 Springdale St. Mt Horeb, WI 53572. Call (608) 437-7645

Office Hours

Monday: 7am to 4:30pm
Tuesday: 7am to 4:30pm
Wednesday: 7am to 4:30pm
Thursday: 8am to 3pm
Friday: By Appointment

Contact Us

(608) 437-7645

New Patient Forms

We are always excited to see new smiles coming through our door! In order to provide you with the best level of care, we need to get some information from you. Please fill out your new patient forms below:

New Patients