Become a Patient/Patient Forms

Faber Dental Arts in Ottawa at (815) 433-1242 welcomes you to our practice. Once you have made your initial appointment, you may preregister online by completing the interactive form(s) below, or you may download and print the form(s), fill them out, and bring them with you to your first visit. Completing the forms prior to your visit will help speed up the new patient registration process.

Also, be sure to bring any relevant diagnostic films or other test results that may have been ordered or performed by another dentist or physician.

Interactive Forms

Ottawa

• New patient forms: To complete new patient paperwork for our Ottawa office please click this link
• Existing patient medical history: For our existing patients in the Ottawa office to complete a new medical history please click this link

Downloadable Forms

• New Patient Registration
• Medical History
• Dental History
• Financial Appointment HIPAA
• Notice of Privacy Practices

Please note:  It may take a few moments to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat Reader for free by clicking on the icon below.