Health Forms

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Name(Required)
Please enter your email, so we can follow up with you.
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Have you, your child, or others accompanying you to today’s appointment or other recent acquaintances tested positive for or been diagnosed as having COVID-19 or any other communicable disease?(Required)
A fever (defined as above 99.6 degrees)?(Required)
A cough?(Required)
Shortness of breath and/or trouble breathing?(Required)
Persistent pain, pressure, or tightness in the chest?(Required)
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Did you or your child travel outside the state of Illinois in the last 14 days?(Required)
**If you traveled to any of the states listed on the current Chicago Emergency Travel Order as a state experiencing a surge in new COVID-19 cases, we would ask you to reschedule your appointment at least 14 days after your return date.
I understand that if the answer to any of these questions is yes, I will be asked to reschedule today’s orthodontic appointment.(Required)

Make Going to the Dentist Fun

Dr. Sarah and her team are incredible! They make going to the dentist fun for my kids. So gentle and professional. We appreciate the amazing dental care and beautiful office.

- Krystle M.

So Nice

Kennay took great care of my son when he had his mold done for his retainer. Making sure he felt comfortable and had a say in the process. The entire staff here are incredible and so nice.

- Yvonne H.

In the Best Hands

Best orthodontist ever! Thank you all for treating me like family! Was in the best hands not once was I ever worried!!!

- Rose M.