(708) 304-4454

Patient Forms

Patient Forms

Going to the dentist can be an overwhelming experience, especially on your first dental visit. Let us put your concerns and anxieties to rest. Our goal at Orland Dental Care is to make every patient experience as comfortable as possible.

To make your visit as pleasant and brief as possible, there are a few things you should bring with you. 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? Complete our digital new patient forms by clicking below.

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Our Happy Patients

"Great place! Very knowledgeable staff... Fast friendly service; monthly appointments for my daughters braces are done in 30-45 min max! Hardly no wait time! "Full service" including coffee, tea and cold drinks! Love it! Would totally recommend to anyone in need of braces or invisalign! Thanks Dr. Salem!"

Barb G Barb G.

"Orland Dental Care is the best dentist I have been to so far. They are very professional. The staff members are all pleasant and knowledgeable. They explain all of your options for dental treatment and make sure you understand the pros and cons of each option to make an informed decision. They are great with kids!"

LaToya E LaToya E.

"I love this place, my kids love the dentists and hygienists! They are super kid friendly and very nice. When you walk in they great you and it is very comfortable atmosphere."

Laura A Laura A.
We're here to help you get the perfect smile!
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