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Patient Forms
If you would like to complete your forms before your appointment, call us at 847.548.1718. We would be happy to fax our forms to you.

Forms available for immediate download in PDF format: Or complete the Patient Forms Online. Click on the link below and complete the following information before your appointment. We invite you to contact Northern Lakes Oral Surgery & Dental Implant Center at 847.548.1718 with any questions.

It's easy, quick and safe! Fill out Patient Forms now via Secure and encrypted web server. HIPAA compliant to ensure privacy.

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847.548.1718 | 875 E. Washington Street Grayslake, IL 60030
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