New Patient Forms

new patient forms

Download Our New Patient Forms

For your convenience, our New Patient Forms are available for download here in Adobe Acrobat PDF format. The Adobe Acrobat Reader is FREE and can be downloaded by clicking on the icon below.

Please print and complete these forms at home before your first appointment. If you need assistance with downloading or printing these forms, please contact our office at (888) 547-2099.

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Lake County Dental Care

Appointments:
(888) 547-2099

Make an Appointment Now!

David P Potts, DDS

908 South Milwaukee Avenue
Libertyville, IL 60048

General Info: (847) 362-6540

Map & Hours

 

 
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(888) 547-2099

General Info: (847) 362-6540