Patient Forms | Envision A Smile - St. Charles IL
630-454-8166

Patient Forms

Going to the dentist can be an overwhelming experience, especially on your first dental visit. Let us put your concerns and anxieties to rest. Our goal at Envision a Smile is to make every patient experience as comfortable as possible.

To make your visit as pleasant and brief as possible, there are a few things you should bring with you. Please bring any dental X-rays from the last six months to your first appointment.

With just a few simple forms, we’ll ask for relevant medical history, any medications you might be taking, your dental history, and any dental insurance coverage you may have.

Want to get a head start? Download the new patient forms below.

These documents are in Adobe PDF format. If you’re unable to read PDF files, please download free Adobe Acrobat Reader here.

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Our Happy Patients

"I have been going here for 10 years. The staff is great, superior with children. Their dental and cosmetic procedures are all good."

Angela W.

"Everyone is wonderful in this office. Great competent care. I've been going to Dr. Brar for many years. Sonja is always flexible with scheduling if something comes up and the rest of the staff is always kind and considerate."

Michelle P.

"Just left the dentist office. They did a fantastic job once again on my teeth. Everyone there is very professional and couldn't have been any nicer to me. Really made me feel comfortable. I'm walking out smiling!"

Howard S.
We're here to help you get the perfect smile!
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