New Patient Forms

Thank you for choosing our practice as your dental care provider; we can assure you that you’ve made an excellent decision!

Before your first visit, we request that you complete the following forms and bring them with you to the appointment. By completing this information ahead of your scheduled visit, we can dedicate more time to you and your needs, as well as introduce you to our incredible team members!

If you have any questions while filling out this information, don’t hesitate to call our office! We are always happy to help.

What Patients Are Saying

DiPilla Dentistry of Chicago

5.0

review us on

Alessandro

20:05 08 Nov 24

Welcoming staff, quick and thorough!

Oliver Stanford

21:11 24 Oct 24

Great place, great people and very nice scented candles in the waiting room!

Jim Waddell

17:50 13 Sep 24

Staff is amazing and Dr. DiPilla is incredibly knowledgeable and attentive. Above and beyond. Their tech is top notch as well.

Talia Eisenstein

17:01 30 Aug 24

Front desk is so responsive, friendly, personable. Space is clean and really cute. Dentists are professional and kind. Would recommend!

Tony harvey

19:07 29 Feb 24

Awesome experience & the people are incredible!!!!

Luis Zurias

07:29 17 Feb 24

Usually i do not leave reviews! I am pretty demanding in general with everything but doctor dipilla and his team are Terrific. Fantastic office, everything clean and professional. An amazing customer service.

Ashley Murav

17:58 02 Feb 24

I've been a patient for 8 years and I adore Dr DiPilla. He is exceptional at what he does!

Lauren Foley

20:29 10 Nov 23

I cannot recommend DiPilla Dentistry of Chicago enough!! As someone who used to dread going to the dentist, somehow DiPilla Dentistry has made it an appointment I actually look forward to. The entire staff is so kind, attentive, and knowledgeable. Dr. DiPilla is so thoughtful and meticulous with every appointment, and listens to every concern I have with my teeth and smile. Thank you DiPilla Dentistry!!

Roman Kiprin

19:52 22 Sep 23

Maya Marcus

21:08 26 Jun 23

Amazing, from beginning to end. Friendly staff, Great service, beautiful interior.

Miguel Garcia

20:36 27 Apr 23

One if not the best dental office in the city. From the decor and hospitality of Adriana in the front office to the care the assistants that did my X-rays and cleaning and Dr Dipilla himself being thorough and extremely friendly. Everything was detailed and took time with the exam, cleaning, and follow up instructions!

Grace Folz

17:11 27 Apr 23