• 1
  • 2
  • 3
  • 4
  • 5
  • 6

Prepare For Your First Family Dentist Visit at University Dental Center In Palos Heights IL

Patient Forms For The Palos Heights Office

Your first visit to University Dental Center establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. To understand what to expect for your first visit to our practice, please read through this page. You'll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There's also background information about our committed staff and our first visit procedures. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment. 

 

Mission Statement

Our practice is working together to realize a shared vision of uncompromising excellence in dentistry. 

 

To fulfill this mission, we are committed to: 

Listening to those we are privileged to serve.

Earn the trust and respect of patients, profession and community.

Exceed your expectations.

Ensure a creative, challenging and compassionate professional environment.

Strive for continuous improvement at all levels.

 

 

Patient Forms 

Please print and fill out these forms so we can expedite your first visit:

Reciept of Notice of Privacy Practices

Consent and Authorization for Diagnoses

Consent for Use and Disclosure Of Health Information 

Notice of Privacy Policy

New Patient Information Form

 

In order to view or print these forms you will need Adobe Acrobat Reader installed.

 

What To Expect

Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit. 

 

 

 

Contact Us

Address:
1261 South Harlem Avenue
Palos Heights Il, 60463

Phone: Phone: (708) 361-8117

Fax: Fax: (708) 361-8193

Fields marked with * are required

Facebook Page

Twitter Updates