Patient Forms

Don't want to spend fill out paperwork before your dental appointment? The below forms can be completed before your visit to Mount Prospect Dental Care to reduce your stress in the dental office.
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Online Patient Forms

The below patient forms can be completed online before your visit to Mount Prospect Dental Care. Click the links below to get started!

Patient Intake Form

Click here to access our patient intake form to download, print, or complete ahead of time.

Health History Form

Click here to access our health history form to download, print, or complete ahead of time.

Disclosure & Consent

Click here to access our disclosure and consent form to download, print, or complete ahead of time.

A Dentist Near Me

Address:

1753 West Algonquin Road
Mount Prospect, IL 60056

Phone:

(847) 952-1905

Hours

Monday: 9:00 AM - 8:00 PM
Tuesday 9:00 AM - 6:00 PM
Wednesday: 9:00 AM - 5:00 PM
Thursday: 9:00 AM - 6:00 PM
Friday: 9:00 AM - 5:00 PM
Saturday: 8:00 AM - 3:00 PM
Sunday - Closed

Excellence in Dental Care for the Entire Family

Contact Us Today for an Appointment

Don’t wait, schedule your appointment with our friendly dental team today and keep your smile healthy and bright.