Patient FORMS

Please help us be prepared for your first appointment by completing the Medical & Dental History form; once done, click the SUBMIT button at the end (no need to print it).

HIPAA form and Privacy Policy are for your information.

Medical & Dental History (English)

Medical & Dental History (Spanish)

HIPAA Notice of Privacy Practices (read only)

Privacy Policy

Recently, the United States Department of Health and Human Services (“HHS”) issued comprehensive regulations relating to the privacy of patients’ records. It is the intent of this office to comply with each of these new rules, and this policy is designed to provide a framework to accomplish this goal.

Ortho2Smile Privacy Policy

Schedule an Appointment with

Dr. Radu (Board-Certified Orthodontist) or Dr. Fan (Board Certified Periodontist)

Monday, Wednesday, Friday : 8:00-5:00

Tuesday, Thursday : 10:00-7:00

Saturday : 8:30-1:30 (By Appointment Only)

Downers Grove
4326 Prince Street, Downers Grove IL 60515
501 S York Street Suite A, Elmhurst IL 60126