Oral and Facial Surgery of Wisconsin
Dr. Tim Stevens

New Patient Forms

Save time waiting in our office by filling out necessary forms online. Feel free to give us a call if you have any questions.

Acknowledgment of Receipt of Privacy Practices Notice

Medical History

Notice of Privacy Practices

Patient Registration Form

Have Questions? Get in Touch
If you have difficulty using our website, please email us or call us at (920) 722-6729
View the ADA Accessibility Statement

With the recent news and public impact of the coronavirus (COVID-19), our team wanted to share some of the protocols we have in place to protect your health and wellness at your dental visit. As part of your health care team, we are monitoring changes and updated guidelines set forth by the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO) in our practice, interactions, and work environment to ensure patient and team safety. Since information is updated regularly, we recommend checking the latest recommendations each day.

Your number one line of safety is an educated and dedicated team. We have met with our entire staff to discuss protocols for keeping ourselves and patients safe, including symptoms to look for and what to do in the event of exposure. In the event of any dental emergency, please call us at 920-722-6729.