Patient Forms for Our Chicago & Bourbonnais, IL Offices
Save time at your first visit by filling out these forms before you come in.
You can fill them out on your phone or computer. Save the finished file and bring it with you. To sign, type your name on the signature line.
Prefer paper? Print the forms and fill them out by hand.
Visit Us
Visit Dr. Raffi General & Implant Dentistry
Chicago Office
6215 W Touhy Ave
Chicago, IL 60646
Mon9:30am – 4pm
Tue9:30am – 5:30pm
Wed9am – 5pm
Thu9am – 11am
Fri10am – 1:30pm
Sat – SunClosed
Bourbonnais Office
876 N Convent St
Bourbonnais, IL 60914
Mon9:30am – 4pm
Tue9:30am – 6pm
Wed9am – 5pm
Thu9am – 1pm
Fri9am – 1pm
Sat – SunClosed