Patient Forms

All Patients

Please fill our our Supplemental Health Questionnaire online on the day of your appointment, by the location you are being seen in:

Naperville

Aurora

Plainfield/South Naperville

Forms to be completed before your Records/Bonding Appointments: 

• HIPAA Consent
• Consent to Treatment
• Treatment & Office Policies
   

For New Patients

Please take a minute to print and fill out the patient information form before your first appointment:

• Welcome Form PDF
• Patient Form (Child) PDF | DOC
• Patient Form (Adult) PDF | DOC
• Patient Form (Child & Adult) PDF | DOC

For Existing Patients

• Appliances
• Braces Care
• Invisalign Care
• Retainers

If you're unable to open PDF files, you can get Adobe Reader® for free.