Plainfield: 13621 S Rte 59 Unit 103 Plainfield, IL 60544
Barrington: 1531 S Grove Ave Barrington, IL 60010
Please click on the links below to view the corresponding forms. Please be sure to print each form, fill them out, and bring to the office with you on the day of your visit.
Medical History Form Patient Registration Form
© 2017 Barrington Dentist I Barrington Dental Care
Vlad Ferdkoff, D.D.S. | 1531 S Grove Ave Barrington, IL 60010 I ph. (847) 666-5356