200 East Willow Avenue, Suite 104, Wheaton, IL 60187 (630) 634-0405

New Patient Information

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New Patient Forms

To help make your first appointment easier, download and print the following 3 documents. Fill them out in the comfort of your home, where it may be easier to look up any information you may not recall. Remember to provide a list of any medications you are currently taking or allergic to.

Patient Registration Form
Medical History Form
Financial Policy
HIPAA Form

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

What to Expect at Your First Visit

Your first visit to our office is designed to get you better acquainted with all we offer as well as introduce you to our caring staff. On your first visit, we will review your medical and dental histories and evaluate your oral health. We will take digital x-rays of your teeth and explain to you whether or not you will require any dental treatment.

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