Patient Forms

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

 English Forms

 Formas Español


To save you time at New Lenox Dental Group and streamline your experience with our dentists, we have provided our patient forms online. We invite you to complete them before your appointment with one of our doctors in New Lenox, Illinois. If you have questions about our patient forms, and to schedule your appointment, please call our office at 815-485-2345. We will be happy to help you.