Patient Forms

New Patient Form – Quick & Easy Online Submission

To make your first visit to Shorewood Family Dental Care as smooth as possible, we’ve made it easier than ever to complete your new patient paperwork.

Simply click the link below to fill out and submit your form securely online—no downloading, printing, or uploading required.

Patient Information Form

Patient Consent Form

HIPPA Authorization Form

Medical History Form

Once submitted, your information will be sent directly to our team, saving you time during your first appointment.

If you have any questions while filling out the form, don’t hesitate to call us at (815) 725-5991, or use the contact form below to reach out. We’re happy to help!