Patient Forms

Don't want to spend fill out paperwork before your dental appointment? The below forms can be completed before your visit to Chicago Smile Design to reduce your stress in the dental office.
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Online Patient Forms

The below patient forms can be completed online before your visit to Chicago Smile Design. Click the links below to get started!

Patient Intake Form

Click here to access our patient intake form to download, print, or complete ahead of time.

Dentist Near You

Address:

437 West North Avenue
Chicago, IL 60610

Phone:

(312) 664-2100

Email:

us@chicagosmiledesign.com

Hours

Monday:        8:00 AM - 5:00 PM
Tuesday:        8:00 AM - 5:00 PM
Wednesday:  8:00 AM - 5:00 PM
Thursday:      8:00 AM - 5:00 PM
Friday:           8:00 AM - 2:00 PM
Saturday:      Closed
Sunday:        Closed

Excellence in dental care for the entire family.

Contact us today for an appointment

Don't wait, schedule your appointment with our friendly dental team today and keep your smile healthy and bright.

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