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Our Office

Patient Forms

We understand our patients and their families lead busy lives. To make your visit to our office more convenient and time efficient, we have provided important paperwork below, so you may complete these pages at your own convenience. Printing out these forms and filling in the necessary information before your appointment can save you time when you are at our office. If you prefer to have our office provide these forms when you arrive, please allow fifteen minutes before the start of your appointment to complete the paperwork. This helps ensure your appointment can start on time.

Download Patient Forms

Financial Information

Elgin dentist Dean Lodding, DDS and the rest of our team at Smile for Life Dental want to make sure every patient can achieve the healthy, beautiful smile they deserve. Our friendly staff can help you navigate your dental insurance benefits to make sure you are taking full advantage of your coverage. For patients who need some extra assistance, or for individuals without dental insurance, we offer financing options through CareCredit® that can enable you to comfortably afford the dental care you need and/or desire.


carecredit-1CareCredit® is a third-party company with a simple application process that enables you to use your benefits immediately upon acceptance. With CareCredit®, you can finance dental procedures with low monthly payments and little-to-no interest loans. To learn more about CareCredit®, or to complete an online application, please click here.

Other Payment Methods

If you wish to cover the expense of your treatment without financial aid, Smile for Life Dental accepts payment in the form of cash, personal checks, debit cards, and most major credit cards (VISA, MasterCard, American Express, DISCOVER).

If you have any additional questions, or if you would like to schedule an appointment at our office, please do not hesitate to contact us online or by phone today.