Patient Registration

Please assist us by providing the following information at the time of your initial visit:

Please download, fill out and bring any applicable information to your appointment to expedite your appointment. We look forward to meeting you!

IMPORTANT: All patients under the age of 18 years of age must be accompanied by a parent or guardian.

For more information about Patient Registration or to schedule a consultation with our Dentists Dr. Laura Funke or Dr. James Funke, please call our Milwaukee WI office at Funke Family Dentistry Phone Number 414-645-7777 or fill our online scheduling form.