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New Patient Forms

New Patient
Forms


We look forward to welcoming you to our patient family

1 min read

Knowing our patients means being able to tailor treatment options based on their lifestyles and medical history. In order to offer the best care possible, we ask various questions from what kind of sports you play to your family medical history. Each question is important and is designed to help you and Dr. Skarin make the best decisions for your treatment together.

Did you know?

Some medications can cause tooth movement to slow or even stop altogether. By knowing your medical history we can anticipate red flags that may affect your treatment.

Before your complimentary consultation, please print and fill out the appropriate form (child form or Adult form) by clicking one of the links below:

If you prefer, you may also fill out this form in-office by arriving 15 minutes before your scheduled appointment time.

Download Child Health History Form (PDF, 466KB)

Download Adult Health History Form (PDF, 346KB)

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Naperville
630-369-0045
Yorkville
630-553-5227