Silver Lake Dental
Patient Forms

59th St. Office

4020 W. 59th St
Chicago, IL. 60629
(773) 585-5176

111th St. Office

3838 W. 111th St
Chicago, IL. 60655
(773) 831-6522

Download Patient / Practice Forms Below

If you were asked to download and fill out a patient form by a member of our staff, please click the form below, it’ll open in a new tab, print it out and have it filled out in advance to your appointment date & time.

Thank You!

Welcome Sheet


Patient Registration

HIPAA Privacy Form
Spanish Welcome Form


Spanish Medical History

HIPAA Acknowledgement Form
Smile Analysis


ViziLite Waiver

Invisalign Consent Form