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Thank you for choosing Chicago Dental! In order to get to know you better, we will need to obtain some background information, including medical history. You can download our patient registration forms here and bring the completed forms to your first visit, or you can arrive 15 minutes to your visit to complete the forms in the office.

Patient Forms

 

Insurance & Billing

We accept most traditional insurance plans, including:

  • Delta Dental
  • Guardian
  • Ameritas
  • Humana
  • Cigna Dental
  • MetLife

Specific coverage is detailed in your benefit plan, provided by your employer. We will do our best to assist you with questions regarding insurance coverage. Our staff is happy to complete and submit claims to your insurance company.

Payment Options

Patients are responsible for any charges not covered by insurance. For your convenience, we accept cash, checks, or credit cards.