New Patient Forms
Welcome and thank you for choosing Coulee Region Implant and Oral Surgery Center! Please fill out the new patient form below to help our team get to know you.
Download and complete the New Patient form.
What to Expect
At Coulee Region Implant and Oral Surgery Center, you can expect to be treated like a friend. Dr. Timm, Dr. Polzin, and Dr. Sorenson take their time to get to know each of their clients and truly care about each person’s well being. If you are a new patient, be sure to fill out the new patient form on our website to help the registration process run smoothly. The staff at Coulee Region understand that many clients have a busy schedule and will work to help everyone receive quality care and have them on their way in no time. Of course, the length of the appointment also depends on the procedure at hand.
Dr. Timm, Dr. Polzin, and Dr. Sorenson put client care above everything else. They want to make sure your experience is comfortable. They will work with you to help relieve the pain and discomfort you may have during procedures.
We have a convenient pick-up location near our building.
You are welcome here.
Schedule your new patient appointment today.