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BLOOMINGTON 309 662 0523
FARMER CITY 309.928.2727
Monday - Friday: 8:00am - 4:30pm
Home
New Patients
Book Appointment
Finance / Insurance
Patient Forms
CareCredit Payment Plans
About Us
Procedures
COSMETIC PROCEDURESS
COMPLEX COSMETIC PROCEDURES
ROOT CANALS
CROWNS & BRIDGES
ORAL SURGERY
PERIODONTAL TREATMENT
IMPLANTS
ATHLETIC MOUTH GUARDS
Smile Gallery
Home
New Patients
Book Appointment
Finance / Insurance
Patient Forms
CareCredit Payment Plans
About Us
Procedures
COSMETIC PROCEDURESS
COMPLEX COSMETIC PROCEDURES
ROOT CANALS
CROWNS & BRIDGES
ORAL SURGERY
PERIODONTAL TREATMENT
IMPLANTS
ATHLETIC MOUTH GUARDS
Smile Gallery
CONTACT H&H
Patient Forms
(Please download the forms below, fill them out, and return them to our office)
New Patient Forms
Adult Patient Information
Child Patient Information
Health History
HIPAA Notice of Privacy Practices
Release of Patient Records (PDF)