 Download new patient forms:  Please help us be prepared for your first appointment by completing this Patient Information and Medical History form. Download the form below (in either Word or PDF format), print it out, complete the form and bring it with you to your first appointment. |
| Patient Form: Word | Patient Form: PDF If you're unable to read PDF files, you can download Acrobat Reader free from Adobe. |
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 Orthodontists Heekyoung Jo and John H. Kelsey 332 Skokie Valley Rd., Suite 222 Highland Park, IL 60035, 847.831.1100 379 N Seymour Ave Mundelein, IL 60060, 847.970.3000 |