Simply Teeth

905 EAST RAND RD, SUITE 200

Illinois

Mount Prospect

60056

847-870-1111

PATIENT FORMS

We aim to provide the best dental services tailored to the needs of each individual patient. To make this possible, we request all patients coming in for a first visit to print the patient forms given below, fill them out and bring them along. This will help us expedite the check-in process considerably.

New Patient Forms

  • Registration Forms
  • Missed & Canceled Appointments Policy
  • Notice of Privacy Practices