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Pallotto Dental Care
Family and General Dentistry

New Patient Forms

Save time by filling out necessary forms online. Feel free to give us a call if you have any questions.

Pallotto Dental Care Discount Membership

Consent For Treatment

New Patient Registration

Medical History

Financial Policy

Privacy Statement

Privacy Receipt

Have Questions? Get in Touch
If you have difficulty using our website, please email us or call us at (708) 895-0778
View the ADA Accessibility Statement
Our office is back open to all patients on June 1st. We will be implementing a few additional safety policies and procedures moving forward to ensure the safety of our team and patients. Please call us if you have any questions or visit our Welcome Back Information page.