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