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DHA Madison Patient Information & Online Forms

Welcome to Dental Health Associates of Madison

At Dental Health Associates, you will find a compassionate, qualified staff to provide you and your family with quality dental care for life.  

We are pleased you have chosen Dental Health Associates as your family’s trusted dental provider. Find out more about our locations, staff members at each office, services provided and fill out your new patient registration forms online.

Our experienced financial coordinators are trained insurance experts who will walk you through your own individual plan to help you understand your coverage and out-of-pocket costs for any treatment needed. Ultimately, it is your responsibility to know your insurance plan, but we do our best to help you along the way.

We are happy to provide you with payment breakdowns and treatment estimates. We also work with a third party to offer interest-free financing for 6 or 12 months, depending on the cost of your treatment.

If you do not have dental insurance coverage, our financial specialists can provide you with payment plan or financing options. One payment option is CareCredit, which can provide our patients with 6 or 12 month financing, interest-free. To learn more about payment plan options and to see if you qualify for financing, contact one of our financial coordinators. 

For patients who don’t have dental insurance we partner with Momentum Plans to provide customized and affordable insurance coverage for individuals, families, and businesses. 

You can use our online form here to request an appointment online. You do not have to be an established Dental Health Associates of Madison patient to request an appointment. For new patients – we encourage you to fill out a new patient form online prior to your first appointment. Be sure to select the appropriate location for your new patient forms, as once you complete them, they are sent electronically to the office you’ve chosen. 

HIPAA Information

Dental Health Associates of Madison (“DHA”) may use your health information (information that constitutes protected health information as defined in the Privacy Rule of the Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996) for purposes of providing you treatment, obtaining payment for your care and conducting health care options. Dental Health Associates of Madison has established a policy to guard against unnecessary disclosure of your health information.

Contact Dental Health Associates of Madison today at 608-284-5400 to learn more about dental insurance coverage, payment plans, out-of-pocket costs, and bill payment options.

Find a Clinic Near You

7 convenient locations

Our Services

From family dental care to orthodontics.

Request an Appointment

New and existing patients