Our team is always ready to help with you scheduling, insurance or anything else you may need during your time with us. We will take extra care to listen to your concerns, answer all your questions and thoroughly explain your condition and treatment options. To schedule an appointment, please call 630-585-5600 or you can use our respective online Request an Appointment forms.
New Patient Forms
If you have made your initial appointment, you can preregister by clicking on the links below to download our New Patient Forms. Please print and complete the forms prior to your arrival. This will help to speed up the new patient registration process.
- New Patient Form (Adult)
- New Patient Forms (Children)
- Oral Screening Consent
- Total Health Checklist
- Financial Policy
We accept most insurance plans. Please call us to verify whether or not we are participating with a particular insurance company.
If you do not have dental insurance you may be interested in our Dental Savings Plan. To review the details please click on this link.
Billing and Financial Responsibility
Please call our office if you have any questions regarding your account and we will be happy to assist you.
Look to family dentist Dr. Khaja for exceptional smile care and impressive results. To schedule your one-on-one visit, get in touch with us at 630-585-5600 or fill out our online Request an Appointment form. Ask us about endodontics and sedation dentistry. Visit us if you are a resident of Chicago, Bolingbrook, Lisle, Naperville, Oswego or Plainfield in Dupage County.