Healthy Smiles

 FORMS

 

We are pleased to offer our New Patient forms online.  Simply click on the link below to download the form, print it out, and bring it completed to your first appointment.

Patient Information

Office Policy

HIPAA

The forms above require Adobe Acrobat Reader to view.  If you do not have Acrobat Reader on your computer, click below for a free download.

        



 
2005 W Addison Street
G-West
Chicago, IL 60618
(773) 573-1234 phone
(773) 573-1232 fax