Patient Forms

We are delighted to welcome you to our practice and are pleased that you chose us to serve your dental needs. We are serious about providing superior dental care and proud of our dedication to our family of patients. Our goal is to help you reach your goals for your mouth, teeth, gums and smile by providing excellent dental care.

To facilitate being seen just as soon as possible at the time of your reservation, we would appreciate it if you would download the following documents and bring them with you to your reservation. We reserve your time specifically for you and the doctor.



New Patient Information

Acknowledgement of Receipt of Notice of Privacy Practices

Medical History Form

Financial Agreement

Sumeet Beri, DDS 1275 Butterfield Rd. Wheaton, IL 60189 Request your Appointment By phone: (630) 653-5152 By email:

Office Hours Monday 10:00 - 4:00 Tuesday 7:00 - 3:00 Wednesday By Appointment Only Thursday 10:00 - 6:00 Friday 7:00 - 3:00 Saturday 8:00 - 2:00 [Two per month]

Wheaton Cosmetic Dentist

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