Patient Forms

If you are a new patient to our office, below you will find a link to our new online forms that will need to be filled out before you arrive at our office.  Completing  the forms will allow us to attend to your medical needs more quickly than completing them on your arrival.  Thank you and please call our office if you have any questions at all.

New and Existing Patient Forms


LOOK YOUR BEST

We combine experience with the latest in dental technology to deliver the best patient experience possible.

Testimonials

Gerald Miller, DDS & Kamil Nowacki DDS are dental professionals dedicated to general, family, and cosmetic dentistry with services including dental exams, dental makeovers, teeth whitening, veneers, crowns, x-rays, cleanings, and more. Please call our dentist in Crystal Lake, IL to schedule your next appointment. No insurance, No problem. Please call us to find out about in office wellness plans for adults and kids. We accept & Welcome New patients! New patient special - $100 off for adults ( Includes Exam, complete set of x rays and a Prophylaxis ) $50 off New patient special for kids ( Includes exam, x rays, prophylaxis and fluoride )

600 Dakota Street
Crystal Lake, IL 60012
Map & Directions
(815) 459-1214

2025 Prosites-
Site Map-

Site Developed by Prosites.com