Contact Us Always Great Smiles
spacer

Glen Ellyn, IL

Our comfortable reception area welcomes our patients to enjoy a relaxed and 'homey' atmosphere.

Glen Ellyn, IL

Click to enlarge map

Appointment Information

Health History Form

Make your first visit with us easier on you by clicking the above Health History form. You may print this form at home or fill it out online and email it directly to our office! You will need Adobe Acrobat Reader installed on your computer to view these files.

spacer
spacer
spacer

Health History Form

For your convenience, there are a few options regarding the Health History form required upon your first visit.

You may print the form at home, fill it out and bring it with you on your first visit.
Click here to print this form at home.

You may also fill in this form online! Fill it in, save a copy for your records and print it at home to bring with you on your first visit. Or fill it in online, save it to your computer for your records and email it directly to our office at office@alwaysgreatsmiles.com.
Click here for the online version of this form.

 

 

spacer