Please bring the following to your appointment:

  • Driver’s License
  • Insurance Cards
  • Referral slip from dentist
  • Any necessary radiographs

There are three options for filling out the required forms:

Option 1: Crystal Lake & Huntley Only

Pre-Registration Online
Crystal Lake & Huntley patients can preregister with our office by filling out our secure Online Registration Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

 

Crystal Lake & Huntley Oral Surgery Patients Only:

 

Option 2: Lake Geneva & Burlington

Download forms to fill out at home.
Note:  Crystal Lake and Huntley patients may also choose this option if they prefer to print and fill out at home. Download forms to home computer, print, complete, and bring to appointment. The forms contained in the following packet are required for first visit:

Lake Geneva & Burlington Patients and
Patients who wish to fill out their forms by hand at home:

Option 3: Forms by Mail

Upon request, we will mail forms to your address.
Contact our office to request forms by mail.

Additional Forms

The forms listed below may not be required for your visit. They are available in the event that your doctor requests this information. There are also post-operative instructions for download. The office will inform you if any of these forms are required or suggested.

Patient Questionnaires:

TMJ/Facial Pain Questionnaire
Patient Complaint Checklist
PreProsthetic Patient Questionnaire

Consent Forms:

Informed Consent for Oral Surgery & Anesthesia
Informed Consent for Surgical Tooth Exposure & Anesthesia
Informed Consent for Bone Grafting
Informed Consent for Implant Procedure
Informed Consent for Oral Sedation
Informed Consent for Orthognathic Surgery
Informed Consent for Soft Tissue Oral Surgery & Anesthesia

Patient Information and Instruction Sheets:

Patient Instructions Prior to Sedation
Post Operative Instructions
Post Operative Instructions for Sinus Procedure
Patient Instructions for TMJ/Muscle Spasms
Patient Instructions for Fracture/Osteotomy


Printing Directions:

Depending on your computer and it’s version, upon your Adobe Reader version, and also depending on your browser (Internet Explorer, Firefox, Chrome, etc) and how browser preferences are set, PDF forms open in different ways.

Normally when you select a form, it opens in the browser window and can be printed from there. However, in some cases, the form has to be downloaded to the computer in order to print. Select the download option and navigate to where you computer saves downloads. Often this is the “Downloads” folder. If you have the option of selecting where to save the form, you may want to simply save it to your desktop. Once the form has been downloaded to your computer, you should be able to print. Please contact us if you would like forms to be mailed.