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Look over our forms and financial policy and call today for your full dental diagnostic appointment.


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Click on the PDF icons below to view and/or print the patient information and history forms, financial policy and agreement and the notice of our privacy policy. Please feel free to fill out the information and bring it to our office upon your first visit.


Patient Information and History


Financial Policy


Notice of Privacy Practices
Privacy Acknowledgement

Smile Gallery

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We speak English, Spanish, Korean, German, and Italian.


Hoffman Estates Family Dentistry

2357 Hassell Road, Suite 208

Hoffman Estates, IL 60169

Tel: 847-310-9600

Fax: 847-310-9631

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