New Patients

In order to provide you with the best possible care and to prepare for your dental visit with us, we ask that new patients print and complete the needed information in our welcome packet. We want to meet your dental needs, and the completion of this information will assist us in making your dental visit comfortable and safe.

To complete the questionnaires, we will request your mailing address during your scheduling phone call or email. Your welcome packet will arrive by mail. You can complete the forms at home and bring with you to your initial exam. If you do not feel comfortable answering a question, you may skip it and discuss it with us when you come in. If a question does not apply to you, you may skip it as well.

Your feedback is always welcome when you visit our Elgin office. Our patients come from all over the Fox River Valley from Bartlett to St Charles to Gilberts. We look forward to having you join our family.


Text message is limited to 160 characters.


  1. Enter your Name.
  2. Enter your Cell Phone Number, area code first
  3. Enter your text message in the box.
  4. Click "Send Text"
  5. A copy of this text will be sent to the office and to your cell phone. The office's reply will also be sent to your cell phone where you can continue the text conversation.
Note: Mobile message and data rates from your cell phone carrier may apply.Close ClickToCall Button
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