Patient Forms
Get your paperwork out of the way before you arrive.
We know the first appointment is the one with all the paperwork. Download your registration form below, fill it in whenever suits you, and your first appointment can start with the dentist instead of a clipboard.
New Patient Registration Form
One page, covering your contact details, your insurance information and two short questions about what brings you in. Filling in the insurance section lets our team verify your benefits ahead of your visit, at no charge to you.
Download the FormSending it back
Email the completed form to bandrdentists@gmail.com, fax it to (630) 427-1801, or simply bring it with you. None of it is required before you arrive.
Prefer paper? Arrive about ten minutes early and we will give you the form at the front desk, or call (630) 427-1800 and we can go through it with you over the phone.