Patient Forms

If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival. Thank you and please call our office if you have any questions at all.

Patient Forms ( Print & Complete All Forms Prior To First Office Visit)

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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.

Premier Dental Assoc. of Arlington Heights
A Procare Dental Group in Park Ridge

2024

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Our Office

605 E. Algonquin Road, 4th FloorArlington Heights, Illinois 60005Get Directions(847) 640-1122

2024

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