5255 S. 76th Street, STE 130, Greendale, WI Serving Greendale, Milwaukee & surrounding areas
Patient Center

New patient forms.

Complete your paperwork before your first visit and we'll have everything ready when you arrive. All forms are available to fill out online or at the front desk.

Schedule Consultation Call Now: (414) 240-1654
Required Forms

Everything we need before your first visit.

To make the most of your consultation, please have these completed before you arrive. Call us if you'd like them emailed to you in advance.

Patient Information Form

Name, date of birth, address, emergency contact, and insurance information. Bring your insurance card to your appointment.

Required for all new patients

Health History Form

Current medications, allergies, past surgeries, and relevant medical conditions. This helps Dr. Caputo plan your treatment safely.

Required for all new patients

HIPAA Privacy Notice & Consent

Acknowledgment of our privacy practices and consent for treatment, including how we may use and share your health information.

Required by federal law

Financial Agreement

Our payment policy, insurance billing practices, and financing options. We'll go over any questions at the front desk before your consultation begins.

Required before treatment begins

Complete online

Call us and we'll email you a secure link to complete forms digitally before your appointment.

Call Now: (414) 240-1654

Request by email

Prefer PDF? We'll send printable versions directly to your inbox — just let us know when you call.

Call Now: (414) 240-1654

At the office

Arrive 15 minutes early and complete everything at the front desk. We'll have your forms ready and walk you through each one.

Arrive 15 min early
Your First Appointment

What to bring on your first visit.

Your consultation with Dr. Caputo is about understanding your goals and your options — not selling you on a treatment. Come as you are. Here's what helps us get started.

Photo ID
Driver's license or state ID
Insurance card
If you have dental coverage — we'll verify benefits on the spot
List of current medications
Prescription and over-the-counter, including supplements
Any recent X-rays
If you have them — we can also take new ones here
Questions you want answered
Dr. Caputo will walk through them one by one
Patient at Caputo Oral Restoration

Ready to schedule your first visit?

Our front desk confirms within one business day. No referral required — just give us a call or fill out our short online form.