Patient Forms
Online Patient Forms
The below patient forms can be completed online before your visit to Lake Hills Dental. Click the links below to get started!
Patient Intake Form
Click here to access our patient intake form to download, print, or complete ahead of time.
Printable Patient Forms
The below patient forms can be printed and completed before your visit to Lake Hills Dental. Please bring the completed forms with you during your appointment.
Medical History Form
Click here to access our medical history form to download, print, or complete ahead of time.
Medical History Form- Spanish
Click here to access our medical history form- spanish to download, print, or complete ahead of time.
Payment Options Form
Click here to access our payment options form to download, print, or complete ahead of time.
Registration Form
Click here to access our registration form to download, print, or complete ahead of time.
Periodontal Questionnaire
Click here to access our periodontal questionnaire to download, print, or complete ahead of time.
HIPAA Policy
Click here to access our HIPAA Policy to download, print, or read ahead of time.
Discover Nearby Dental Care
Address:
2110 Algonquin Road
Lake in the Hills, IL 60156
Phone:
(847) 854-0525
Fax:
Hours
Monday: 9:00 AM - 6:00 PM
Tuesday: By Appointment Only
Wednesday: 9:00 AM - 6:00 PM
Thursday: 9:00 AM - 6:00 PM
Friday: 9:00 AM - 2:00 PM
Saturday: 8:00 AM - 1:00 PM
Sunday: Closed
contact@dentistlakehills.com
Address:
2110 Algonquin Road
Lake in the Hills, IL 60156
Phone:
(847) 854-0525
Hours
Monday: 9:00 AM - 6:00 PM
Tuesday: 9:00 AM - 6:00 PM
Wednesday: 9:00 AM - 6:00 PM
Thursday: 9:00 AM - 6:00 PM
Friday: 9:00 AM - 2:00 PM
Saturday: 8:00 AM - 1:00 PM
Sunday: Closed
Contact Us Today for an Appointment
Don’t wait, schedule your appointment with our friendly dental team today and keep your smile healthy and bright.