Patient Forms

Below you will find our patient forms. Feel free to print and complete the forms before your first visit with us. While we do not require that you complete this paperwork prior to visiting our practice, this will save you and our staff time when you come in for your first appointment with us.

Questions about your first visit?
Dentist Office in Dubuque IA
Cosmetic Dentist in Dubuque IA │ Schultz Family Dentistry
Cosmetic Dentist in Dubuque IA │ Schultz Family Dentistry

Schultz Family Dentistry
3422 Asbury Road
Dubuque, IA 52002

Phone: (563) 582-5000
Text: (563) 582-5000
Fax: (563) 585-1958

Office Hours:

Monday 8:00am – 5:00pm
Tuesday 8:00am – 5:00pm
Wednesday 8:00am – 5:00pm
Thursday 8:00am – 5:00pm