Patient Forms

Don't want to spend time filling out paperwork before your dental appointment? The below forms can be completed before your visit to our office to reduce your stress in the dental office.
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Online Patient Forms

The below patient forms can be completed online before you visit our dental office. Click the links below to get started!

Patient Intake Form

Click here to access our patient intake form to download, print, or complete ahead of time.

Financial Info Form

Click here to view our Financial Info Form to download or print ahead of time.

Notice of Privacy Practices

Click here to access our Notice of Privacy Practices form to download, print, or complete ahead of time.

Dr. Kaminski - A Dentist Near Me


880 Lee Street, Suite 101
Des Plaines, IL 60016


(847) 824-7722


(847) 824-7722



Monday: 11:00 AM - 7:00 PM
Tuesday: 9:00 AM - 6:00 PM
Wednesday: 8:00 AM - 5:00 PM
Thursday: 8:00 AM - 2:00 PM
Friday: Closed
Saturday: 8:00 AM - 1:00 PM*
Sunday: Closed

*Every Other Saturday

Excellence in Dental Care for the Entire Family

Contact Us Today for an Appointment

Don’t wait, schedule your appointment with our friendly dental team today and keep your smile healthy and bright.