Online Patient Forms

Available 24-7

Secure Online Patient Forms are a fast way to get your dental and medical history (and pay your bills) to our staff so they will be ready to care for you at your upcoming appointment.

Woman contacting Affiliated Dentists Madison on her phone

We’ve made it simple for you to fill out patient forms prior to your visit, when it’s convenient for you. If you are visiting our West office on Odana Road or our East office on River Place, please click the correct link down below.

Patient Forms

Secure Online Access

Online Bill Pay

Secure Online Payment is the fastest way to get your dental bills paid!

We’ve made it simple for you to login when it’s convenient for you and manage payment 24-7. If you are a patient our West office on Odana Road or our East office on River Place, please click the correct link down below.

East Office Bills

Currently Unavailable. Call (608) 222-3231 for Help.

West Office Bills

Currently Unavailable. Call (608) 274-9077 for Help.

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