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​New Patient Info & Forms

Click the link below & follow these easy steps:

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1. After clicking the link below, START WITH the “Welcome to Aurora Dental Hygiene” two-page guide.
<The guide explains what Aurora Dental Hygiene is, what we provide, how payment works, and which forms you may need>

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2. Complete the forms that apply to you.

  • Everyone:
    (1) Health History Form
    (2) HIPAA Patient Intake Form

  • If applicable:
    (3a) HIPAA Release Authorization
    (3b) Fees & Sliding Scale Eligibility
    (3c) BadgerCare/Medicaid Information

  • For your records:
    Download “HIPAA — Know Your Rights.”

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3. Submit your completed forms.
Once your forms are complete, you’re ready for your appointment.

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