Fakler Dentistry

6033 W. National Ave., West Allis, WI 53214

CALL US (414) 475-0588

Fakler Staff

Patient Forms

To make your visit more efficient and stress free, we have included our patient forms Online. Simply click on the links for the appropriate forms and they will be uploaded on your computer in a PDF format. Just print them at home, fill them out and bring them to your next appointment. If you do not have Adobe Acrobat, we have included a link for a FREE download. If you have any questions regarding these patient forms, please call our office.

PATIENT INFORMATION FORM
MEDICAL INFORMATION FORM
DENTAL INFORMATION FORM
PRIVACY PRACTICE FORM
FINANCIAL POLICY
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Insurance & Billing

We accept most traditional insurances and we are happy to file your claims for you. We also accept cash, check, Discover, MasterCard and Visa. If you have any questions regarding your insurance and what services it covers, please call our office.

  We accept Discover Credit Card.  We accept Master Card.  We accept Visa Credit Card.
Additional insurance information...

Financing Options

CareCredit, a GE Money Company, gives you convenient payment options to help you pay for treatments and procedures your insurance doesn't cover. You don't have to worry about saving up for the procedures you want and need. With CareCredit, the decision is in your hands to get what you want, when you want it. We provided a link to an application below.

care credit application link

If you would like to estimate what your payments would be for a specific procedure, just enter the total estimated amount into the Payment Calculator and it will figure it out for you.

Calculate your low monthly payment.

Office Hours & Location

Fakler Dentistry
6033 W. National Ave.
West Allis, WI 53214
Phone: 414-475-0588

Monday - 8am to 5pm
Tuesday - 10am to 7pm
Wednesday - 8am to 5pm
Thursday - 7am to 4pm
Friday - 9am to 2pm
Saturday - One Saturday per mth (call)

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