Mt. Prospect Family Dentistry Forms
Are you a new patient to our Mt. Prospect dentist office? Are you preparing to have an extraction, endodontic treatment, or another type of treatment at our clinic? If so, there are a few forms that you will need to complete before you receive our dental services. These forms contain important information in them to help you better understand the treatment you are about to receive, and they provide us with important patient information that we need for our records. Please find the appropriate form for your needs below, complete it, and bring it with you to your appointment. If you have any questions, please contact our dentist office for assistance.
Euclid Smiles Family Dental Forms
Acknowledgment Privacy Practices – English
Acknowledgment Privacy Practices – Spanish
Notice Privacy Practices – English
Notice Privacy Practices – Spanish
Informed Consent for Chairside Tooth Whitening Treatment