Patient Forms

Dr. Mollie Rojas and Dr. Sonal Patel encourage you to fill out our patient forms before your first visit if you are a new patient to Shoreline Dental Chicago. This will allow our dentists to look at your oral medical history and decide which treatments are right for your dental needs. Call us at 312-266-9487 if you have any questions about our patient forms or dental care in Chicago, Illinois, or if you would like to schedule your first appointment with Dr. Mollie Rojas or Dr. Sonal Patel.

View Patient Form