Patient Forms

Our dental team wants to help you have a more convenient and streamlined visit here at Homerun Dental! If you have already scheduled your first appointment with our dentists in Chicago, Illinois, we welcome you to fill out our online patient forms to help you save time at the beginning of your visit. Please feel free to contact us today at 773-248-0300 if you would like to schedule your first appointment with Dr. Alaleh Dowlatshahi or Dr. Sudi Rafieian!

Online Form

Patient Form

Printable Form

Patient Form