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.
Schedule Appointment
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.
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.