Patient Forms
Please help us be prepared for your first appointment by completing our Medical & Dental History form and HIPAA form. Download the forms, complete them and email them to our office, or bring them with you.
Medical & Dental History (to be filled out)
Word format
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PDF format
HIPAA Notice of Privacy Practices (read only)
Word format
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PDF format
HIPAA Privacy Acknowledgement (to be signed)
Word format
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PDF format
Patient Login
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Doctor Login
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About Our Office
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For New Patients
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All About Braces
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Invisalign®
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First Aid
FAQ
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Site Map
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Contact Us
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Thank You
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Home
Dr. Corina Radu, Orthodontist | Ortho2Smile | 477 Spring Rd | Elmhurst, IL 60126 | (630) 279-5345
4326 Prince Street | Downers Grove, IL 60515 | ( 630) 964-0115
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