(630) 318-0988

Patient Forms

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 Denemark Periodontal Specialists 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 had heard about Dr. Denemark and Denemark Periodontal for years. Good thing, because I finally have needed their services a couple times in the past year. Everyone in the office is friendly and wants to make sure that what needs to be fixed gets taken care of in the most professional way. Not to mention the beautiful office and the state of the art equipment and technology make it my choice and I refer anyone who needs dental help to visit Dr. Denemark. His concern for your health and his approach to fixing the issue that is best for you makes Denemark the only choice in the Chicagoland Area."

Kent E Kent E.

"Dr. Denemark has done several implants on me and I'm really happy not only with the results, which are so perfect, as with the way the procedure was handled. I also had bone and gum grafting done with him and had excellent results. If I ever need an implant or grafting again Dr. Denemark is for sure the doctor I'll have them done with! He has been doing implants in our family for years, grandma (who had over 7 implants done with him), my nephew, my sister in law and so on. Totally trustworthy and great person! Excelente Periodontal Specialist!"

Thelma F Thelma F.

"If you are looking for a professional periodontist who treats you with respect, dignity, and actually cares about the end result rather than just the money, then you MUST go visit Dr. Denemark! Dr. Denemark and his staff, especially Marci, are extremely personable and care about the quality of their work. I highly recommend their work and most definitely will recommend them to friends and family. I appreciate you all and thank you for making what could've been a scary experience, a pleasant one."

Megan B Megan B.
We're here to help you get the perfect smile!
Have Questions? Call Us Now (630) 318-0988  OR   Schedule Your Visit!
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