FOR YOUR CONVENIENCE
NEW PATIENTS FORMS
We would like to make your visit with us as convenient as possible. Completing New Patients Registration Form and the Health History Form with any necessary information before you arrive for your appointment will reduce the total time of your visit.
Please click on the button below to download and the Health History Form.
If you prefer, you can also fill them out once you are in our office. If you have any questions, please contact our team and we'll be happy to address your concerns.
DENTAL RECONSTRUCTION CENTER FINANCIAL POLICY
Dr. Rubinstein and staff are proud to be a team whose primary mission is to deliver the best, most conservative dental and preventative services available. Your long-term optimum dental health is our main objective and in order to assist you with the investment in your dental care, we have outlined our office philosophy and payment policy.
Comprehensive restorative, prosthetic, cosmetic, implant and periodontal services can be complex and extensive, and we believe our patient should have a complete understanding of the procedures and fees involved. Our office will inform you of your financial obligations before scheduling any treatment, and if you have any inquiries before treatment is initiated, do not hesitate to ask so all questions are answered. Treatment and recommendations are always based on what is best for the patient. We take pride on our knowledge, ability and decision process through a comprehensive oral examination, treatment planning, and quality of clinical and laboratory materials used which will determine the best and most conservative (if appropriate) treatment for the patient.
We deliver the finest care to our patients and request that payments be made at the time service is rendered unless other arrangement has been made in advance.
REQUEST AN APPOINTMENT
Please fill out this easy form and a member of our staff will be happy to get in touch with you to schedule your appointment.
If you have a dental problem or are a new patient, please call us 847.673.2455
We are looking forward to meeting with you soon!
Thank you very much!