Patient Forms

New Patient Forms

At East Erie Dental – SE Chicago Dentistry, we are happy to welcome you to our office! Rest assured, knowing that we are committed to the comfort and satisfaction of each of our patients. Our goal is to build ongoing relationships with each patient, helping you maintain a healthy, beautiful smile that lasts for life.

When you need complete dental care, we will assist with everything from preventive dentistry to full restorations. It’s crucial that we have information about each of our patients to ensure that you receive the best services for your unique needs.

Fill out the new patient forms, and feel free to reach out to us if you need assistance. We are here to help!