233 E. Erie, Suite 816, Chicago, IL 60611Respect and care for our patients are core values at Chicago Holistic Dentistry. Our dentist in Chicago, Illinois, knows that you are not just investing your money but your time in your health which is why we want to make your visit as convenient as possible. We have provided access to our new patient forms below, which you can complete before your visit with Dr. Gloria Chen. By completing your paperwork prior to your appointment, you can save time and give Dr. Chen the opportunity to review your medical history. You can print out and complete your forms or save even more time by submitting your forms electronically. If you need assistance, or if you would like to plan your visit, call our office at 312-280-2299 or reach us by text at 312-890-6968.
New Patient Registration Form
Covid-19 Treatment Consent Form