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333 W. First St.

Elmhurst, IL 60126

 Phone: 630-833-5110

Fax : 630-833-0458

Elmhurstdental.com

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We know your time is valuable. To save you time on your first visit, please open and complete the following on-line forms and print each to bring with you at your first visit...

Home Dental History Medical History Privacy Form Patient Information  Medical Release Form 

This form is for adults 18 and older.  Med / Financial information release with / for another family member or spouse

Dental Insurance FAQ