Patient Forms

Going to the dentist can be an overwhelming and to some, a scary experience, especially on your initial dental visit. Let us put your concerns and anxieties to rest.

Our goal at Corinium Dental is to make every patient experience as comfortable and awesome as possible.

To make your visit as pleasant and brief as possible, Let's prepare you with what you need when you arrive at our office. 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.

Dentists Proudly Serving
Schaumburg

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Have Any Questions?
Call Us Today at: (847) 352-5410

Fax: (847) 352-1809

Email: coriniumdental@gmail.com

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