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Intake Forms

We offer our new patients the option of downloading our new patient forms online so you can complete them in the convenience of your own home.


New Patient Form

Click to download our new patient form and fill it in prior to your first visit.

pdf icon New Patient Form


Patient Consent Form

Click to download our patient consent form and fill it in prior to your first visit.

pdf icon Patient Consent Form


Free AdobeReader®

Get adobe readerEach form is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.


Dr. Eliot Tokowitz | Lakeview Dentist | (773) 880-2310