Patient Forms

At J.S. Whitson LTD, we strive to make your dental experience as smooth and convenient as possible. To help streamline your first visit, we provide new patient forms that you can easily fill out ahead of time. By completing these forms before your appointment, you'll save time and allow our team to focus on providing you with the best care. Whether you're visiting us for a routine check-up or a more specialized procedure, our dentist in Peoria IL wants to ensure your experience is stress-free and efficient.

 

Filling out your new patient forms in advance helps us better understand your dental history, current health, and any specific concerns you may have. This information is crucial in creating a personalized treatment plan tailored to your needs. Our trusted dentist in Peoria IL is here to provide you with comprehensive dental care that promotes long-term oral health.

 

We encourage you to download and complete the necessary forms from our website before your appointment. This way, when you arrive at our office, you can focus on your consultation and dental care, knowing that all paperwork is already taken care of. If you have any questions about the forms or need assistance, please don't hesitate to reach out to our team. We’re here to help make your visit to our dentist in Peoria IL as convenient and comfortable as possible.

 

At J.S. Whitson LTD, our team is committed to delivering high-quality care in a welcoming environment. We look forward to helping you achieve a healthy, beautiful smile!  

          
 
 
NOTICE: There will be a $30 fee for appointment cancellations within 24 hours of your scheduled visit, and/or a no-call, no-show appointment.

 

Appointment request
Need an appointment with a dentist in Peoria ? Requesting an appointment at our Peoria, IL family and cosmetic dental office is now easier than ever. Fill out the form below and we'll contact you to find a time that fits your schedule. Start your journey towards a beautiful smile with us today!
Patient Name*
Phone Number*
Email Address
Are you a current patient?
Best time(s) to call?
Preferred Appt Date
Preferred Appt Time
Message
Describe the nature of your appointment or any other comments