YOUR FIRST DENTAL VISIT
Thank you for choosing this office to fulfill your dental needs.
Following is what you can expect at your first visit:
• Review your insurance information, medical history, HIPPA forms, and picture release. Copies of the forms are available at the Dental Forms link below. Please download the forms, fill them out and bring them to your visit
• Digital photographs of your face, mouth, and front teeth.
• Comprehensive examination of the hard and soft tissues of your mouth
• X-rays as required by your special condition
• Additional digital photographs as may be required by your condition
Following is what you can expect at your first visit:
• Review your insurance information, medical history, HIPPA forms, and picture release. Copies of the forms are available at the Dental Forms link below. Please download the forms, fill them out and bring them to your visit
• Digital photographs of your face, mouth, and front teeth.
• Comprehensive examination of the hard and soft tissues of your mouth
• X-rays as required by your special condition
• Additional digital photographs as may be required by your condition
Dental Forms
Please print these Dental Forms and bring them to your first visit
Harold O. Wyckoff, Jr., D.D.S.
1355 East Golf Road, Des Plaines, IL 60016
Phone: (847) 824-3633 | wyckoff.DDS@gmail.com
Copyright 2012
1355 East Golf Road, Des Plaines, IL 60016
Phone: (847) 824-3633 | wyckoff.DDS@gmail.com
Copyright 2012