Evanston Dental Care
Creating Beautiful Smiles

Patient Forms

For your convenience, we have our patient forms available online, so that you can print them out and have them filled in when you come to your appointment.  We kindly ask that if you will not be able to make your appointment to please provide us with 24 hour notice. There is a fee of $50-$150 for failing or canceling an appointment without 24 hour notice. 

Medical History Form

Notice of Privacy Practices

HIPAA Statement

Patient Log-In
New Patient Forms Sign-In