Email

midtowndentalstudioil@gmail.com

Phone

(224) 384-0485

New Patients

Welcome to Midtown Dental Studio!

Your first visit includes a full exam, digital X-rays, and a one-on-one consultation with our dentist. We’ll review your dental goals and create a plan that works for you.

New Patient Dental Intake Form Patient Information

Please download or complete the New Patient Dental Intake Form online at your convenience to help us prepare for your visit

Patient Information
Dental Insurance
Dental Insurance
Medical History
List medications you are currently taking and the correlating diagnosis
Please list any allergies you may have:
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