Stacy Foster-Office Manager
Below are the forms you will need to complete and bring with you on your first visit with us.
Please make sure you also bring your most current dental insurance card and photo id.
Click here for NEW PATIENT REGISTRATION FORM-all patients
Click here for MEDICAL FORM - ADULTS- 18 years and older
Click here for DENTAL FORM - ADULTS - 18 years and older
Click here for CHILD MEDICAL/DENTAL FORM - 17 years and under
Click here for FINANCIAL POLICY FORM - all patients
845 S Main St
Lombard, IL 60148
(630) 620-7300 Main