PATIENT FORMS 

Our patient forms are available below for download so you can fill them out in the comfort of your home. Please contact us if you have any questions.

Patient Inforation Form

Patient Information

ADA Health History Form

Health History

Practice Polices Form

Dental Practice Policies

Privacy Practices Forms

Privacy Practices

Authorization To Discuss Form

Authorization to Discuss Dental Information

OFFICE HOURS

Monday

Tuesday

Wednesday

Thursday

Friday

9am - 5pm

9am - 5pm

8am - 4pm

9am - 6pm

9am - 2pm

If you are experiencing a dental emergency outside of our regular office hours, please see our emergency care information.

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©2020 by Tru Dental North Peoria.