CALL: 773.687.8052

Patient Forms

Fill Out Our Patient Forms from the Convenience Of Your Own Home: 

New Patient Form

HIPAA & Office policy

Your initial visit includes digital radiographs, a complete exam answering any questions you may have, an oral cancer screening, and if time allows, a cleaning applicable to your oral health.  

If you need further treatment, we will be happy to reserve an appointment after your initial visit.

 

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.
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Office Locations

  • Chicago
  • 3917 N. Ashland Ave
  • Chicago, IL
  • 60613
  • Map & Directions
  • Call: 773.687.8052
  • Riverwoods
  • 1105 Milwaukee Ave
  • 2nd Floor
  • Riverwoods, IL
  • 60015
  • Map & Directions
  • Call: (847) 215-1391
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