Patient Forms

If you are a new patient, please download and fill out one of the health
history forms below.

Bring the form with you on your 1st visit to our office.

If you are bringing siblings with the same insurance and billing party information, only one of the child forms needs to have that information.

• Child Health History Form
• Adult Health History Form

In addition, please read the following forms- then sign, print and bring with
you on your 1st visit to our office.

• Office Procedures, Consent and HIPAA

Before you are wear your Invisalign braces it is important that you print the following form and bring with you to your next appointment.

• Invisalign Consent and Agreement Form

Free Consultation
We would like to offer you a complimentary consultation at any of our offices located in Chicago, Plainfield/Joliet and Naperville, IL, so we can create a treatment plan to suit your needs.