Click on one of the links below to download our Health and Dental Forms

Email forms to :  office@blazekandcollingwooddds.com

**PLEASE PUT HEALTH HISTORY AS A SUBJECT LINE**

*Note:  You may need to save the file to your computer and send it as attachment to our email*

or

Mail forms to :  

 Blazek & Collingwood DDS

401 D Pilot Court

Waukesha, WI 53188

We appreciate you taking the time to fill out and return our health and dental history forms.  We assure you our doctors always review the forms to assure you are getting the best care possible.