Dr. Amanda Spitz Dr. Erin Winn Dr. Madeline Goettl Meet the Staff Take a Tour of Chippewa Take a Tour of Rice Lake In the News Community Outreach
Visit(s) Appointments Frequently Asked Questions Online Patient Forms Financials
Emergencies Oral Hygiene and Diet Tips Educational Materials Post Op Instructions
Smiles in Motion
Chippewa Falls Contact Info Rice Lake Contact Info Eau Claire Contact Info Chippewa Falls Map/Directions Rice Lake Map/Directions Eau Claire Map/Directions Referring Doctors Educational Materials Careers
Links Educational Materials

Online Patient Forms

Thank you for selecting us to provide your child's dental care!

To ensure that we can provide you with the best care possible and prepare for your child's dental visit we ask that you complete our online forms. Completing the forms now will save you time at your initial visit.

After your initial call to our office, please fill out the New Patient forms. Upon finishing these forms, they will be downloaded to our office and be ready for you when you arrive for your first visit.

We have designed our forms so that you will be able to add comments. If you do not feel comfortable answering a question, you may skip it and discuss it with us when you come in.

When you have completed a section, click the next button to move forward. Your feedback is always welcome when you visit our office.

Thank you for your time.

Chippewa Falls/Rice Lake:

Eau Claire: