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Patient Forms
Madison, WI


Dr. Bacsik reviewing some paperwork with the staff at Madison Oral Surgery & Dental Implants in Madison, WI You may pre-register with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

The doctors of Madison Oral Surgery & Dental Implants would like to inform you of the enhanced safety protocol developed for our office in response to the COVID-19 pandemic. Working with recommendations from the CDC, OSHA, American Dental Association, and local government, we have enhanced our already stringent protocols for hygiene and safety.

•  All patients and staff wear masks
•  All patients and guests are screened with a COVID-19 questionnaire and temperature check prior to admission to our clinic lobby. Hand hygiene is performed before entry.
•  All personnel have twice daily temperature checks
•  To allow for social distancing, we have reduced the number of patients and guests in the office at one time and spaced the seating in our lobby appropriately
•  Allow more time for disinfecting between patient encounters
•  Increased disinfection of frequently touched surfaces including counter tops, handles, lobby seating, and bathroom surfaces
•  New, single use pens to avoid germ sharing between patients and personnel
•  Procedural personnel wear N95/KN95 masks and face shields
MEET THE MADISON ORAL SURGERY & DENTAL IMPLANT TEAM AND SEE OUR RESPONSE TO COVID-19

Get in Touch!


PHONE
(608) 960-7650

EMAIL
info@madisonoralsurgeons.com

LOCATION
2921 Landmark Place, Suite 100
Madison, WI 53713