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Patient Forms

Welcome to Lincoln Crossing Family Dental. Our Chicago Heights dental office is now open to new patients. We welcome patients with and without insurance. Call our office at (708) 996-1111 to make an appointment.

Save time by downloading your New Patient Forms in a PDF format and bringing your completed forms to your 1st appointment. These forms require Adobe Acrobat Reader. If you need a copy of this software, Install Adobe Acrobat Reader Now.

New Dental Patient Forms:

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What to bring:

In preparation for your first visit at Lincoln Crossing Family Dental, please bring the following to your dental appointment:

  • Picture ID
  • Dental Insurance Card (if you have dental insurance)
  • Completed new patient forms
  • List of any medications you are taking

Your first appointment:
Your first visit will last approximately 1 hour. During that appointment we will review your dental and medical history, take x-rays and evaluate your mouth. We will also give you a tour of our Lincoln Crossing Family Dental and review our office policies with you.

The dental team at our Chicago Heights dental office will begin by discussing your medical, dental and patient registration data with you. You will receive a comprehensive dental exam, dental x-rays, a head and neck cancer screening, a periodontal evaluation and a baseline dental charting. You may receive a routine cleaning on your first appointment depending on your overall periodontal condition.

Dr Treneice Mangram and her husband, Dr Edwin Mangram will discuss the current state of your dental health and outline your treatment planning options to complete any dental work you may need or cosmetic dentistry you may want.