Bilingual — Spanish


At Lake Country Periodontics & Implant Dentistry, we use online patient forms to save time at your appointment with Dr. Jeffrey M. Garcia and Dr. Kinan M. Al-Bitar. These are easy to fill out and allow us to be aware of anything you need to have a successful experience. If you have any questions about these forms before your visit with our periodontists in Waukesha and Mukwonago, Wisconsin, please contact us.

Patient Information Form
Medical History and Insurance Form

Two Locations To Better Serve You

Waukesha Office

2316 N. Grandview Blvd.
Waukesha, WI 53188


400 Bay View Road Suite K
Mukwonago, Wisconsin, 53149