Welcome Forms

Here are the forms that you can complete before you come to our office for the first time:

 

 

 

Medical History Form
MedicalHistory.pdf
Adobe Acrobat document [52.9 KB]
HIPAA Privacy Consent Form
hipaa.pdf
Adobe Acrobat document [8.9 KB]
HIPAA Notice of Privacy Practices
NOTICE OF PRIVACY PRACTICES.pdf
Adobe Acrobat document [11.7 KB]

Contact Us Today!

Northshore Metropolitan Dental Associates

 

Skokie Location

4709 Golf Road

Suite 804
Skokie, IL 60076

Phone: +1 847 673-6770+1 847 673-6770

Email:

skokie@nsmetrodental.com 

 

 

 

 

 

 

Gurnee Location

1790 Nations Drive

Suite 212
Gurnee, IL 60031

Phone: (847) 336-4880

Email:

gurnee@nsmetrodental.com 

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