Patient Forms

Access Forms for New & Existing Patients of Celebrating Smiles

Forms/Questionnaires:

  • Click on “Patient Forms” 
  • Enter your first and last name
  • Enter your appointment date
  • Click on "Submit"


To Create an Account:

  • Click on "Patient Account Access"
  • Click the “Sign Up” button under Register Now.
  • Fill out all of your information.
  • Click “Submit.” A request to create an account will be sent to our office. Once approved, you can Login and access all of our online services.

Contact Us

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Our Location

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Hours of Operation

Phone: (847) 697-9000

Monday:

8:30 am-6:00 pm

Tuesday:

8:30 am-6:00 pm

Wednesday:

8:30 am-6:00 pm

Thursday:

8:30 am-6:00 pm

Friday:

1st Friday of the month 8:00am-12:30pm

Saturday:

8:00 am-1:00 pm

Sunday:

Closed