Direct Physician Care · Madison, WI | Monday–Thursday 7:30 AM – 5:00 PM · Friday 8:00 AM – 3:00 PM
Front Desk: (608) 555-0136 Accepting New Patients
Clearwater Family Medicine & Dental Independent Family Medicine & Preventive Dental Care
Before your visit

Print and bring your intake forms

Download the form that fits your visit, complete it offline, and bring it to the front desk. These links are demonstration placeholders until the clinic uploads its approved documents.

Keep clinical information off this site

Do not upload forms, records, symptoms, or insurance details here. Complete downloaded forms privately and bring them to the office or ask the front desk for a paper copy.

Dental visit information

Paperwork for a routine preventive or restorative dental appointment.

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Insurance and payment authorization

Bring this only if the front desk asks you to complete it before arrival.

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Need help choosing a form? Call the front desk. We can tell you what to bring without asking for clinical details online.

Request an Appointment