Patient Forms

Save time at your visit — download and complete your forms at home before you arrive.

Appointment

How It Works?

Download your forms

Save time by completing your paperwork before you arrive — available anytime, anywhere.

Fill Them Out at Home

Take your time in a comfortable setting and have all your information ready.

Bring Them to Your Appointment

Hand in your completed forms at check-in and get seen with little to no wait.

Available Forms

Download your forms before your visit and skip the waiting room paperwork.

New Patient Form

Complete this form before your first visit to help us get to know you and your dental history.

Download form

Medical History Form

A complete overview of your current health, medications, and allergies to ensure safe treatment.

Download form
Ready to Meet Us?

✅ Real results from a team you can trust

✅ Experienced dentists who listen and care

✅ Gentle approach for patients of all ages

✅ Clear treatment plans — no surprises

Book Your Appointment Today!

First name and last name
Your phone number (we’ll call to confirm your visit)
Your email address
Tell us what you need help with or ask any questions
Contact
Address: 566 E Northwest Hwy, Palatine, IL
Phone: (847) 202-0033
E-Mail: info@smilepalatine.com
Open Hours
Monday – Friday 12 AM - 12 AM
Saturday : 11 AM - 2 AM
Sunday : 9 AM - 12 AM
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