Lippitz Orthodontics

Chicago Office
7070 N. Western Ave.
Chicago, IL 60645
773-508-5588

Northbrook Office
1500 Shermer Rd. #100
Northbrook, IL 60062
847-562-8858

Glencoe Office
650 Vernon Ave
Glencoe, IL 60022
847-835-3200

Palatine Office
4949 Euclid Ave, Suite A
Palatine, IL 60067
847-397-1111

Patient Forms

Patient Forms

Please take a minute to print and fill out the patient information form before your first appointment:

» Patient Form (Child) [PDF] | [DOC]
» Patient Form (Adult) [PDF] | [DOC]
» Patient Form (Child & Adult) [PDF] | [DOC]

If you're unable to open PDF files, you can get Adobe Reader® for free.

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