Welcome Letter - with Medical Assistance or Badgercare

Welcome to our practice! We are thrilled that you have chosen usto provide your dental care and we look
forward to meeting you! Your initial visit with us will include a comfortable, personalized, very thorough
exam along with easy-to-understand information and choices about how we can help you achieve your oral health goals. Please plan to spend approximately 60 minutes with us.

• Please complete the enclosed personal health history at home and bring the enclosed forms with you to your appointment. Having thisfilled out in advance of your appointment, gives our team ample time to become familiar with your medical and dental history.

We participate in state funded programs as a service to our community and accept a sharply reduced fee for our services as a condition of that participation. As a result, there are a few requirements that we make of you as well as any family member that is a patient of our office.

• No cosmetic (white) fillings will be placed on posterior teeth.
• When you arrive for your appointment, you must present a current Forward Health card.
• Appointments are only scheduled between the hours of 8:40am and 3:30pm.
• Co-Payments MUST be made at the time of your visit.
• If you cannot keep a scheduled appointment, you must call 24 hoursin advance to let our office know
• We accept only a limited number of Forward Health patients and maintain a waiting list. If you misstwo scheduled appointments without calling or give lessthan a 24 hours notice, you will be DISMISSED and someone on our waiting list will be accepted in your place.
• We call all patientsthe day before theirscheduled appointmentsto confirm them. If you do not have a telephone, you must call our office 24 hours prior to your appointment to confirm it. You must notify usif your phone number changes. If you do not call, we may assume that you are not planning on keeping your appointment and another patient may be scheduled in your time. (We also offer courtesy postcard, email and or text reminders.)

Once again, thank you for selecting our office. Please do not hesitate to let us know how we can serve you best.

Sincerely Yours,
WP Dental