1270 Chestnut Street West Bend, WI 53095   |     (262) 334-0316
Dentistry of West Bend
  • About
    • Meet the Team
    • Meet Dr. Harding
    • FAQs
    • Sterilization Protocol
    • Blog
  • Services
    • Preventive Dentistry
      • Dental Hygiene/Exams
      • Dental Fillings
      • Extractions
      • Sealants and Fluoride
      • Athletic Mouthguards
      • Nightguards (bruxism treatment)
      • Pediatric Dentistry
    • Cosmetic Dentistry
      • Crowns
      • Bridges
      • Bonding, Inlays and Onlays
      • Porcelain Veneers
      • Teeth Whitening
      • Orthodontic Restorations
    • Restorative Dentistry
      • Dental Implants
      • Dentures
      • Periodontal Disease Treatment
      • Gum Disease Laser Therapy
      • Non-Surgical Root Canals
      • Occlusal Disease Treatment
    • Dental Anxiety
    • Dental Technology
  • Patients
    • Your First Visit
    • Financing and Insurance
    • Dental Membership Plan
    • Patient Forms
    • Online Bill Pay
  • Reviews
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  • Schedule Appointment
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Patient Forms

Download and complete our online patient forms below at your convenience. Send them to us at info@dentistryofwestbend.com before your appointment.

Medical History Insurance Patient Registration

First Time Patient?

We encourage you to contact Dentistry of West Bend today to learn more about us and to schedule an appointment!

First Time Patient

Dentistry of West Bend

Dentistry of West Bend is a family dental practice that provides highly personalized care for our valued patients. We treat patients of all ages and pride ourselves on providing the utmost quality in comprehensive dental care.

Contact Us

  • 1270 Chestnut Street
    West Bend, WI 53095
  • (262) 334-0316
  • (262) 334-0430

Our Hours

Mon: 8am – 5pm
Tues: 8am – 5pm
Weds: 8am – 5pm
Thurs: 8am – 4pm

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