DHA Madison 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 front office staff members 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.
We are happy to provide you with financial 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.
You can use our online features here to request an appointment online, whether you're a new patient or an existing one. You can even fill out your new patient forms online, prior to your 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.
Dental Health Associates of Madison, Ltd. ("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. DHA has established a policy to guard against unnecessary disclosure of your health information.