Our office is located at 312 W Main Street in Barrington, IL. We have parking in the back of the building including one handicap accessible spot with access to a motorized lift.
We are excited to see you and have put together all of the forms you need prior to your first visit.
Welcome back! Please complete our COVID19 screening form, and if you have not completed a health history form in the last year, please fill one out!
(required for every appointment at our office)
(if you have moved or have had a change to insurance or contact information)
To limit the amount of time you spend in the office, please complete all forms prior to your visit.
All information entered in our online forms is secure and adheres to strict HIPPA standards.
We accept most insurances but are not currently in-network with any. We are happy to submit your claim to your insurance for you.
Illinois School Proof
of Dental Exam Form
Need to complete the IL dental examination requirement for your children? No problem! Complete the parent/guardian portion of the form to the left and give us a call to schedule an exam. We are happy to perform a thorough examination and complete the remainder of the form for you.