Champaign Dental Care patients are required to fill out paperwork with their first visit or if their existing information has changed.  This process can take 5-10 minutes.  As a convenience, you can print these pages off and fill them out before coming to the dental office.  Simply bring them with you at your appointment.

Care Credit

Existing Patient with new information

HIPPA  

Notice of Privacy Practices Acknowledgement

Welcome to our Practice; For Adults

Welcome to our Practice; For Children

Authorization to Release Information