New Patient Information

New Patient Forms
 

We are happy to make our new patient forms available for download online at your convenience.  To download, please click on the button to the right.

 

We kindly request that you bring these completed forms to your first visit or plan to arrive 15 minutes early so that you can complete them on site.  Thank you!

Dental Insurance

 

Please feel free to contact Uptown Dentistry with any questions about your dental insurance policy.  We would be happy to help determine your eligibility and provide an estimate for each visit.

 

Uptown Dentistry is a preferred provider for the following PPO insurance plans:

  • Aetna

  • Assurant

  • Blue Cross / Blue Shield

  • Cigna DPPO Total

  • Delta Dental Premier

  • Guardian

  • Humana

  • Metlife

  • Principal Financial

  • United Healthcare

© 2015 by Uptown Dentistry.

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Uptown Dentistry

80 N Northwest Hwy

Park Ridge, IL  60068

Office@UptownDentistry.com

Tel: 847-292-0600

Fax: 847-292-0608

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