All Patients who have an ACTIVATED Power of Attorney (POA) or a Legal Guardian > STOP !!
Contact our office immediately before proceeding & downloading the Forms
If patient does not speak/read English or fully understand the English language > STOP !!
Contact our office immediately before proceeding & downloading the Forms
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CLICK HERE : to print the Recertification Pack ( 4 pages )
CLICK HERE : to print the Recertification Form ( 1 page )
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All forms on this website are in PDF format ( Adobe Acrobat )
Patient Forms. This website is for informational purposes only and is not a substitute for Dental or Medical advice, diagnosis, or treatment. The information on this website does not create a patient-dentist relationship, and should not be used as a substitute for professional diagnosis and treatment. By visiting this site you agree to all its terms and conditions, which may from time to time be changed or supplemented by Dr. James J. Herget listed in the Disclaimer. If you do not agree to these terms and conditions, you should not enter this site. Dr. James J. Herget is a proud member of the American Dental Association, Wisconsin Dental Association, and the Dodge/Columbia/Marquette Counties Dental Association. Dr. Herget attended Marquette University in Milwaukee WI. He graduated in 1988 and immediately moved to Mayville WI where he has been practicing Family Dentistry for 25+ years. Dr. James J. Herget performs many dental services, such as : Dental Fillings, Dental Crowns, Dental Bridges, Dental Implant Reconstruction, Dental Cleanings and Dental sealants ( performed by a licensed Dental Hygienist ), metal free, flexible, partial dentures ( no full dentures ), root canal treatment ( incisors and bicuspids ), basic extractions, and only uses “low-radiation” digital x-rays. If you are looking for quality, family, reasonably priced dentistry : Dr. James J. Herget is your dentist of choice ! If you are a Facebook user we would love to have you as a Friend or just LIKE our page. Patient Forms. Affordable Mayville WI dentist.