WELCOME TO ST. FRANCIS DENTAL CENTER
PATIENT FORMS
St. Francis Dental Center offers the highest quality general dentistry services in the Milwaukee, WI region. For 60 years, we have provided superior service to our patients in the Bay View, St. Francis, Cudahy, and South Milwaukee areas of Wisconsin. To make your first appointment with us as convenient as possible, fill out the attached PDF forms and fax or bring them with you to your first appointment. Our fax number is: 414-744-6031
ST. FRANCIS DENTAL CENTER
NEW PATIENT FORM
ST. FRANCIS DENTAL CENTER
FINANCIAL OPTIONS FORM
ST. FRANCIS DENTAL CENTER
NOTICE OF PRIVACY PRACTICES
ST. FRANCIS DENTAL CENTER
PRIVACY PRACTICES ACKNOWLEDGEMENT FORM
ST. FRANCIS DENTAL CENTER
FINANCIAL OPTIONS FORM
ST. FRANCIS DENTAL CENTER
FINANCIAL & INSURANCE INFORMATION
Keeping the cost of dentistry affordable for you and your family is a priority to us. We make every effort to ensure this for you.
- Cost of treatment will be openly discussed with you, along with treatment options you may have.
- Treatment plans are routinely filed to your insurance to assist you with their estimated payment.
- Our office accepts: Visa, Master Card, Discover, personal checks and cash.
- If you are insured, we will submit insurance claims for you. It is your responsibility as the insurance holder to provide the dental clinic with correct and complete insurance information. Your portion due for your dental investment will be due at time of service. Any estimation of insurance coverage should be considered an estimate, with no guarantees that your insurance will pay.
- Monthly billing is available through our office with CareCredit, a national financing group that provides no interest plans for patient care. For more information, and to Apply Online, go to this link.
You can feel confident that every effort will be made by our knowledgeable business staff to assist you in understanding your insurance and in helping to make dentistry affordable for you.
“Lovely, caring, articulate people who listen to a patient’s needs and sincerely want to help. Anything I needed or had questions about were taken care of in a thorough structured manner. I will definitely recommend to those searching for a phenomenal dental office.”
Mary H.
“Accommodated a same day possible chipped tooth, and diagnosis put my concerns in check, via good friendly professional dialogue. The staff is very friendly, professional, knowlwdgeable and efficient. I am grateful of the team there!”
Bradley V.
“St Francis Dental Center has been my “dental care home” for many years. The staff is so helpful and professional. If you are looking for a new dentist, be sure to go to St. Francis Dental Center.”
Sonia H.
“Had my first appointment with SFDC and it was a great experience! Staff was friendly and knowledgeable— several of the hygienists have been there for 20+ years.”
Lauren E.