Vernon Hills IL Dentist Drs. Mora and Mora  
 
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New Patient Forms
 
 

1. Click on the links "Patient Registration" and "Medical History" below, fill out the online forms, and press "Send".

Patient Registration Medical History

Adobe ReaderThe forms below are in PDF format, which can be read using Adobe Acrobat Reader. If you do not have Adobe Acrobat Reader, get a free copy by clicking on the link to the right.

2. After reading the Notice of Privacy Practices, print the forms below ("Office Policies" and "Acknowledgement of Receipt of Notice of Privacy Practices"), fill them out, and bring them with you on your first visit.

Office Policies Privacy Policy