Forms

Day of Your Appointment

We would like to welcome you to our dental office and look forward to meeting you! Please be sure to bring these items to the office on the day of your appointment:


  • An up-to-date list of your medications including vitamin supplements, herbal remedies, and over-the-counter pain remedies
  • An up-to-date list of your medical conditions and allergies
  • Information about your health care providers, including all of your doctors and their phone numbers and your previous dentist (if applicable)
  • Information about your emergency contacts
  • Your dental insurance card
  • Drivers license or photo id
  • Your dentures or partials, even if you aren’t currently using them
  • All minors (under the age of 18) will require their parent or legal guardian to accompany them to appointments
  • These four forms, printed and filled out

If for any reason you cannot keep your appointment, please call us at 217-525-6980 as soon as possible with at least 24 hours notice to defer any cancellation fees.