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New Patient Forms

Waukegan Patient Forms

Please click the “Submit” button after you are done filling out the form. These forms are secure and we do not share your information with anyone outside our office.

New Patient Form

New Patient Form

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Health History

Health History

Health History

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At Orthodontic Experts of Waukegan, we treat each patient as if they were our family member!

Insurances that we accept

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