Online Patient Forms

Available 24-7

Secure Online Patient Forms are a fast way to get your dental and medical history (and pay your bills) to our staff so they will be ready to care for you at your upcoming appointment.

Woman contacting Affiliated Dentists Madison on her phone

We’ve made it simple for you to fill out patient forms prior to your visit, when it’s convenient for you. After your visit, you can conveniently pay your bill online via our bill payment portal. — If you are visiting our West office on Odana Road or our East office on River Place, please click the correct link down below.

Patient Forms

Secure Online Access

Online Bill Pay

Secure Online Payment is the fastest way to get your dental bills paid!

We’ve made it simple for you to login when it’s convenient for you and manage payment 24-7.
If you are a patient our West office on Odana Road or our East office on River Place, please click the correct link down below.

East Office Bill Pay Portal

Call (608) 222-3231 for assistance. 

West Office Bill Pay Portal

Call (608) 274-9077 for assistance. 

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