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Patient Forms and Information

Your first visit to Elite Family Dental Of Brookfield establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. To understand what to expect for your first visit to our practice, please read through this page. You’ll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There’s also background information about our committed staff and our first visit procedures. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment.

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Patient Forms

Please print and fill out these forms so we can expedite your first visit:

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

Mission Statement

The mission of our office is to provide the finest, comprehensive, innovative dental care in order to benefit our patients, thus enhancing the quality of their lives. To fulfill this mission, we are committed to:

  • Listening to those we are privileged to serve.
  • Earn the trust and respect of patients, profession and community.
  • Exceed your expectations.
  • Ensure a creative, challenging and compassionate professional environment.
  • Strive for continuous improvement at all levels.
Insurance and Billing

We accept most insurance plans but not all insurance carriers. Please contact our office at (262)782-1655 to verify acceptance of your plan.
Elite Family Dental Of Brookfield does not participate in Health Management Organizations; however, we will be happy to file your insurance claims for you. We are happy to file insurance for your reimbursement as long as you are free to choose your own dentists. We accept checks, cash or credit cards including VISA, MasterCard, and Discover Card. Payment-in-full is expected within 90 days of completed treatments. We also offer a flexible payment plan. Please see our Financial Coordinator for details.

Facilities and Equipment

We were chosen the “Best Dentist of the Burbs” in 2003, 2004, and 2005 based on an independent survey of a 17 community wide poling. No survey was done in 2006. Our state-of-the-art equipment includes intra oral photography, and nitrous oxide.


We know you have many choices when choosing Brookfield, WI. Dentists so we have made requesting an appointment a simple process via our Web site. Our office does not accept walk-in’s, instead we ask that you please call our office to schedule an appointment. If, for any reason you cannot keep a scheduled appointment, or will be delayed, please call us as soon as possible.

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