Patient Forms

1332-119th Whiting, IN 46394 219.659.4900 udcwhiting@gmail.com	5254 Hohman Ave. Hammond, IN 46320 219.933.4900 udchammond@gmail.com	5655 Harrison St. Merrillville, IN 46410 219.980.4900 udcmerrillville@gmail.com

3540 E. 118th St. Chicago, IL 60617 773.646.6262 udceast@gmail.com	E-mail us with any questions you may have udceast@gmail.com	18511 Torrence Ave. Lansing, IL 60438 708.474.5055 udclansing@gmail.com

The first visit to our office is designed to get you better acquainted with all we offer as well as introduce you to Dr. Fried and our caring staff. We encourage questions and do our best to always deliver quality care.

Please take a moment prior to your scheduled appointment to download our patient forms. We ask that you complete the forms and bring them with you to your appointment so we may better assist you in a timely manner. Thank you for your confidence in our office, we look forward to assisting you with all your dental needs.

New Patient Forms

This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.