To Be Prepared For Your Next Chicago Dentist Office Visit

Kaufman & Kaufman Smile Design Studio Forms

Thank you for giving us the opportunity to care for your family. Before coming to the dental office, you can fill in some of the information on our Patient Info form to save time. Please click on the link to the form that you need. When the form has downloaded, please print and complete the information sheet and bring it to the office at the time of your appointment. You can also fax your forms to (773) 643-0278 or email to

Forms and Requirements

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1525 East 53rd Street, Suite 734 | Chicago, IL 60615 | (773) 643-6006 | | Schedule An Appointment

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