New Patient Forms
For your convenience, we’ve provided our patient forms online. Completing these forms before your visit can help streamline your check-in process and reduce wait times.
Please download, print, and complete the necessary forms before your appointment. If you have any questions, feel free to contact our office for assistance.
Adult
Adult Dental History
Adult Medical History
Adult Patient Registration
Pediatric
Pediatric Medical History
Pediatric Patient Registration
You may return completed forms by bringing them to your appointment. If you need assistance or are unsure which forms to complete, please call our office at Halkyard Family Dental Phone Number (815) 942-0830. We’re happy to help!