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Patient Forms

Save yourself some time. Download our patient forms, print and fill them out at home, then bring them with you to your appointment. If you have any questions, please call our office. And if you'd like to book your appointment online, please click here.

Patient Information Form
Insurance Information

Health History Form
Dental History Form

Privacy Notice
Patient Acknowledgement Form
Patient Consent Form

"I found Dr. Wanserski DDS to be a professional and talented prosthodontist. About 7 years ago, because of health problems, I had to lose my teeth. Going to Dr. Wanserski was life saving for me. Through his excellent work I can eat anything that I want - apples, nuts and steak. You should consider going to Dr Wanserski if you need help. I am now 87 years old and really enjoy life. THANK YOU Dr. Wanserski and God bless you.
~Marie M., Merrill, WI.
Wanserski Dental Center for Complex Dentistry
(715) 841-9161

Monday 7:30am - 5pm
Tuesday 7:30am - 5pm
Wednesday 7:30am - 5pm
Thursday 7:30am - 5pm