CONTACT




212 W. Van Buren St.
6th Floor
Chicago, IL 60607

P 312.441.0096

Monday: 8am - 4pm
Tuesday: 8am - 4pm
Wednesday: 8am - 4pm
Thursday: 8am - 4pm
Friday: 8am - 4pm


FOR YOUR CONVENIENCE:
Download the Patient Registration form
Download the Dental History form
Download the Pre-screening Covid-19 form

These forms may be downloaded as PDFs, filled out, and emailed to contact@laurieschumacher.com