Patient Forms

Dentist Downers Grove, IL

For your convenience, you may download and print our forms prior to your office visit. All of the forms are in PDF format. Most modern browsers can display and print PDF documents and you can always download free software from Adobe to do so.

This PDF includes the following documents:

  • Welcome Document (2 pgs)

  • Written Financial Policy (1 pg)

  • Insurance Release and Assignment of Benefits (1 pg)

  • Privacy Release and Disclosure Statement (1 pg)

  • Notice of Privacy Practices (3 pgs)

This PDF includes the following documents:

  • X-Ray Release Form

This PDF includes the following documents:

  • Welcome Document (2 pgs)

  • Insurance Release and Assignment of Benefits (1 pg)

Convenient Location

Whether you simply want a basic check-up, or are in need of a more comprehensive diagnosis, Main Street Square Dental is your go-to for all your healthcare needs. Our Convenient Location makes the patient experience much easier and our care services more effective. Call us and see how we can help you out.

Easy Appointment Scheduling

Main Street Square Dental is one of the top Dental Clinic in the Downers Grove. Our Easy Appointment Scheduling is a standard feature we provide that benefits each and every one of our valued patients. Get in touch to book a health consultation and ask us about the services that are the most relevant to you.

On-Call 24/7

Looking for a Dental Clinic that really knows how to address your medical needs? Main Street Square Dental offers a wide range of healthcare services to patients in the Downers Grove area. We provide our On-Call 24/7 to help our patients feel better, sooner. Schedule an appointment today and experience all we have to offer.

Our Office Hours

Monday 9am - 6pm

Tuesday 7am - 2pm

Wednesday 9am - 6pm

Thursday 7am - 2pm

Friday Closed

Saturday By Appt.

Sunday Closed

Contact Us

Main Street Square Dental, 2932 Finley Rd, Downers Grove, IL 60515, USA

(630) 629-6299

©2020 by Main Street Square Dental.