We are pleased to welcome you to our practice. To save you time on your first visit, we've attached our New Patient Form below for you to fill out at your own convenience. Please print, complete and bring form with you to your first visit. If you have any questions, we'll be glad to help you. We look forward to working with you in maintaining your oral health!
New Patient Form
(PDF file)
If you cannot open file, we can send you one via email. Please call our office to request a copy at (217) 528-3384. Thank you!
We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form.