Dentist Crystal Lake Appointment Request


Make an Appointment With Our Crystal Lake Dentists

Need an appointment with a dentist in Crystal Lake? Requesting an appointment at our Crystal Lake, IL family and cosmetic dental office is now easier than ever. Fill out the form below and we'll contact you to find a time that fits your schedule. Start your journey towards a beautiful smile at Randy Halihan Family Dentistry today!


Please click the link below to fill our our New Patient Questionnaire. If you are a patient of record, please click 'patient login.' 




Patient Information (* denotes fields that are required)
Patient Name*
Phone Number*
Email Address
Are you a current patient?
No Yes
Best time(s) to call?
Morning Noon Afternoon Evening
Appointment Information
Preferred Appt Date
Preferred Appt Time
Describe the nature of your appointment or any other comments