New Patient Forms

Contact Peterson Family Dental in Northwest Indiana & South East Cook County

Your first visit with us establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. You will see our new patient forms located on this page. For your convenience, you may print and fill out the forms on this page and bring them with you to your visit. Please have your insurance card and photo ID with you on the day of your first visit, as well.

We look forward to meeting you!
Forms must be completed at least 48 hours before your appointment time. Otherwise, we require that you come 20 minutes prior to your appointment time to complete all necessary forms
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