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Call us today!
920-887-7667

Eaton Dental Patient Forms

Please take a minute to print and fill out the patient information form before your first appointment:

Patient Form PDF | DOC 
New Patient Info
FinancialResponsibilityForm0001
Notice of Privacy Practices​

If you're unable to open PDF files, you can get Adobe Reader® for free.

Financial Information

The cost of your treatment may vary depending on your individual needs and treatment plan. Dr. Eaton and his staff will discuss with you the cost of your treatment, and each of your available payment plan options, so that you are able to make the best choice for you, your smile, and your family.

Affordable Payment Plans

Your smile is yours forever, and we want to make it as easy as possible for you to receive the best dental care whenever you need it. 

Our Practice Accepts Most Major Credit Cards and Insurance Plans

Our office staff is always available to help you with insurance claims and paperwork. We'll work with your insurance provider to make sure that your coverage meets your needs and your budget.

Please let us know if you have any questions about your insurance coverage, and let us know how we can help to make your entire dental experience a pleasant one.

We offer CareCredit and Quality Dental Plan to give you convenient payment options so you can get the procedure you want, when you want it.

Convenient Online Services

With just the simple click of a mouse, our secure online service allows you to:

  • View your appointment and account information any time
  • Sign up for email or text appointment reminders
  • Check your payment history and see current charges
  • Print out flex spending reimbursement and tax receipts

If you do not have a patient login and would like to begin viewing your account information online, and from the comfort of your own home, please click here to sign up for your own personal account.