Cosmetic Dentist - Joliet
2410 W. Jefferson Street Unit 108
Joliet, Illinois 60435
815-744-4443

Patient Forms, Map and Directions to Joliet Office

Your first visit to Dental Smiles establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. To understand what to expect for your first visit to our practice, please read through this page. You'll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There's also background information about our committed staff and our first visit procedures. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment.

Mission Statement

  • To guide our patients along a path of optimal health and wellness, for life.
  • To non-judgementally deliver the highest possible level of care, with empathy and understanding.
  • To continually pursue excellence through continuing education, personal and team growth and mastery of leading edge technology.
  • To treat our patients as individuals. To deliver this care with first-class, five star service.
  • To respect our patients' time. To accept our patients as partners in their wellness.

To fulfill this mission, we are committed to:

  • Listening to those we are privileged to serve.
  • Earn the trust and respect of patients, profession and community.
  • Exceed your expectations.
  • Ensure a creative, challenging and compassionate professional environment.
  • Strive for continuous improvement at all levels.



Patient Forms
Please print and fill out these forms so we can expedite your first visit:

Patient Registration Form

Medical History Exam

Updated New Patient Hippa/Financial Policy Forms Page 1

Updated New Patients Hippa/Financial Policy Forms Page 2

Updated New Patient Hippa/Financial Policy Forms Page 3

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.



What To Expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.



Driving Directions
Local Landmarks: Infront of Walmart on Jefferson Street in Joliet

Dental Smiles, Ltd. is a BBB Accredited Dentist in Joliet, IL