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Painless Dentist Wisconsin
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Painless Dentist Wisconsin
4453 Cty. Hwy. B
Land O' Lakes, WI 54540
Tel: 715-547-3541
  • About
  • Services
  • Patients
    • Financing & Insurance
    • Forms
  • Gallery
  • Links
  • Mission Work
  • Contact

Schindelholz Dental Patient Forms

We have made available the dental forms listed below in Adobe Acrobat format. You will need the free Adobe Acrobat Reader to view these forms. Open the documents, fill in the forms, and then print and bring with you to your appointment.

New Patient Registration Form
Patient Medical History Form
Notice of Privacy Practices
WINTER PICS 012
"Painless" Pete J. Schindelholz DDS & Laura M. Goll DDS
"Painless" Pete J. Schindelholz DDS & Laura M. Goll DDS

Schindelholz Dental

715-547-3541

4453 Cty. Hwy. B, Land O' Lakes, WI 54540

[email protected]

Mon-Wed: 8am-5pm
Thu: 8am-4pm
Fri-Sun: Closed

Serving patients in Land O’ Lakes, Conover, Eagle River and Presque Isle area as well as the Upper Peninsula of Michigan.

© 2025 Schindelholz Dental Painless Dentist Wisconsin. All Rights Reserved.

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