Patient Forms

Please take a minute to print and fill out the patient information forms before your first appointment:

  • New Patient Health History PDF
  • TMJ Screening Form PDF

If you’re unable to open PDF files, you can get Adobe Reader® for free.

building interior
1830 South 11th St
Chesterton, IN 46304 (219) 926-1463
Mon 11:00am to 6:00pm Tue 8:00am to 5:00pm Wed 8:00am to 5:00pm Thu 7:00am to 4:00pm Fri Closed Sat By appointment only
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