Childrens Center for Dentistry

Accessible Version

DENTAL SCHOOL FORMS are need for Kindergarten, 2nd, 6th, and 9th Grades.
Don't forget to remind our staff if your child needs one for the upcoming school year!

Children's Center for Dentistry > New Patient Forms

Save time waiting in our office by filling out necessary forms at home. Feel free to give us a call at (309) 827-5437 if you have any questions.

New Patient Child Forms

Fill Out Online

New Patient Infant Forms

Fill Out Online

Update Patient Information (Established Patients)

Fill Out Online

Records Release Form

Fill Out Online

Designated Consent Form

Fill Out Online

Quick Links

Insurance

Frequently Asked Questions (FAQs)

Hours, Location and Contact Information

Getting an appointment is fast and easy!