Dentist Crystal Lake Patient Forms

Patient Forms for Halihan Family Dentistry

For the convenience of our patients, we've provided our patient forms for you to print and fill out in the comfort of your own home. You won't feel rushed when you arrive at our office to fill these out - you'll simply come in, hand in your forms, and comfortably wait! If you have any questions about the forms, please feel free to give our team a call at (815) 444-6444 and our front desk staff will happily assist you.

 

Patient Registration Form

Notice of Privacy Practices

Acknowledgement of Receipt of Notice of Privacy Practices