Patient Forms

New Downtown Chicago Dental Patient Forms 

When we welcome a new patient to our Chicago dental office, we also welcome any questions you may have about office policies, insurance, and of course, fees and financial arrangements. 

We work very hard to control the cost of dental care.  It's part of our philosophy that quality care should be available to everyone.  Our first rule of thumb: before any work is performed, we'll sit down together and go over our estimate of charges in detail. 

Insurance makes life easier. We'll help fill out your claim forms and answer any questions you have. Each policy is different, but in general, insurance usually covers about 70%-90% of simple care and 50% of major work. Pre-authorization for major work will tell you the amount of your obligation ahead of time (no one likes these kinds of surprises). This way you pay only the estimated percentage of your total bill, that portion not covered by insurance.

Dr. Tilden graduated from the University of Illinois College of Dentistry, with honors--tops in his class of 97 students. After 30 years of experience, we know that your experience with our dental office and care will be one that you will recommend your friends, co-workers, and family members.

Please let us know if you have any questions or would like to schedule an appointment today! Our Streeterville office is convenient to nearby Gold Coast, Old Town, and River North!

New Patient Forms
Your First Appointment

 (Print & Complete All Forms Prior To First Office Visit) 


 This web site uses files in Adobe Acrobat Portable Document Format  (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.


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