Appointments

Thank you for choosing Dental Professionals of Algonquin for your care. As a first time patient we have made it easy for you by offering health related forms online. The following forms have been provided for you for your convenience. New patients can save time during their first appointment by completing the patient registration forms prior to their visit.

Simply print out (or electronically submit) the patient registration forms, fill in the information requested, and bring the completed forms with you to your appointment.

What to Bring

To make your visit as simple as possible, please bring any dental x-rays you’ve had taken in the last 6 months. If you don’t have them we can take new ones. Please bring any relevant information about your medical history, any medications you may be taking, your dental history and any dental insurance you may have.

Patient Forms

New Patient Forms (Secure Electronic Submission)
New Patient Forms (Please Download – Fill, Print and/or Save)*
Insurance Update For Existing Patients (Please Download – Fill, Print and/or Save)*
Records Release Form (Please Download – Fill, Print and/or Save)*

*All Adobe form fields are fillable, you may save and print the forms and bring them to our office.

*These forms require Adobe Acrobat Reader to view. If you do not have Adobe Reader already installed on your computer, click the Adobe logo above to download.