New patient? Please download and fill out the following forms when you come in for your first appointment:
For your first office visit, we ask that you would also bring:
Also, check out our interesting dental facts for more information about the health and history of your teeth.
HIPPA Information and Signature Sheets
New Patient Information Form
This form is mandatory for new patients. To expedite your visit, print this form, fill it out and bring it with you for your first visit. Please note that we have two separate forms depending on if the patient is a child (16 and under) or adult.
Written Financial Policy
This form details the financial policies of our office. Please fill this form out and bring it in for your first appointment.
Call us at: (708) 579-1522
1400 W 47th St
La Grange, IL 60525
Use our contact form to get in touch.
What is the best preventive care for your teeth? Find out how to make your next visit easier and more pleasant.