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New Patient Forms
Rockton, IL
Dentist and patient point at paperwork and forms on a clipboard in Rockton, Il. The following forms are provided to our patients online for download. Please print and complete the forms and bring them to your appointment.

If you have questions about any of the paperwork, please give us a call at (815) 624-3269 and our staff will be happy to help you.

New Patient Forms
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Phone


(815) 624-3269

Hours


Mon - Thu: 8:30am - 5:00pm
Friday: 7:30am - 1:00pm


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New Patient Forms • Rockton, IL • Rockton Dental Care
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Rockton Dental Care, 213 W. Main St, Rockton, IL 61072 • (815) 624-3269 • rocktondental.com • 5/16/2026 • Key Phrases: dentist Rockton Il •