New Patient Forms

We hope you are considering choosing Naper Dental Center to be your new dental home. If you would like to become a patient, that means you will need to have a new patient visit for us to find out a little bit about you. This information allows us to take the best possible care of you and your family. You can find our New Patient Forms below. Downloading and printing these will allow you to fill out this information before you come in and to save a little time. These forms are important to us so that we know your complete medical and dental history and can treat you accordingly. Thank you for filling them out thoroughly prior to your appointment and we look forward to meeting you.

  • TMJ Health Questionnaire - click here to download.
  • Berlin Sleep Questionnaire - click here to download.
  • Epworth Sleep Questionnaire - click here to download.
  • Financial Policy - click here to download.
  • Privacy Policy - click here to download.
  • Communications Disclosure - click here to download.