Patient Forms

Thank you for choosing Leipnitz Dental! As a new patient, please complete the following forms and bring them to your first dental visit.

We look forward to meeting you!

If you would like us to obtain your dental records/x-rays from a previous dentist, please complete the following forms:

To read Leipnitz Dental Notice of Privacy Practices, click here .

Note: To download Adobe Acrobat Reader for free, click here .

Contact Us

We encourage you to contact us via phone or email

Proudly Serving the following locations: Menomonie, Elmwood, Boyceville, Spring Valley, Colfax, Woodville, and Glenwood City