Sehler Implants ~ Stanley I. Sehler DDS - Milwaukee, WI - Patient Information - Dental Implants - Periodontics - Laser Surgery

STANLEY I. SEHLER, D.D.S.

2300 North Mayfair Road (Suite 705)

Milwaukee, WI 53226

Phone: (414) 259-9440 Fax: (414) 259-0589

Email: Stanley@Sehlerimplants.com

PATIENT INFORMATION

New Patient Examination

You can fill out the Medical and Dental history online

The following Patient/Medical history and HIPPA forms can be filled out prior to your examination appointment.

Patient/Medical History Form

HIPPA Form

Our Office participates in most Dental PPO plans as well as the Humana Medical plan. We accept the Care Credit financing plan that has been endorsed by the Wisconsin Dental Association. This plan enables patients to borrow money for dental treatment interest-free during the first twelve months of the loan.

New Patient Registration

We participate in the most Dental PPO plans as well as Humana Medical plan. Please bring the following information with you to your first appointment:

1.) Insurance cards, both Medical and Dental

2.) Policy holder's Social Security number and date of birth

3.) Physician's name and address

4.) Any prescriptions you're taking

5.) Your family dentist's and your previous dentist's name and address

6.) We will contact your referring dentist for x-rays

7.) Patient portion not covered by your insurance should be paid on day of appointment.

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