Contact us
Northern Lakes Schedule an Appointment
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.
 

Home | The Doctor | Procedures | Sedation | FAQs | Office Tour | Financial Information
Referring Doctors | For Patients | Contact us | Schedule an Appointment | Sitemap
847.548.1718 | 1275 East Belvidere Rd. Suite 220 Grayslake, IL 60030
© 2008 All Rights Reserved. | Midwest Dental Solutions, LLC