Dr Harold Patino, Oral Maxillofacial & Implant Surgery
Naperville, IL
630.536.1900
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    • First Visit
    • Scheduling
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  • Procedures
    • Dental Implants
    • Bone Grafting
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  • Meet Us
    • Meet the Doctor
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  • Surgical Instructions
    • Before Anesthesia
    • Dental Implant Surgery
    • Wisdom Tooth Removal
    • Exposure of an Impacted Tooth
    • Extractions
    • Multiple Extractions
    • After socket Bone Grafting
    • After Sinus Lift
    • Mouth-Sinus Communication
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Patient Information

  • Introduction
  • First Visit
  • Scheduling
  • Financial Policy
  • Insurance
  • Privacy Policy
  • Online Videos
  • Patient Testimonials
  • Write a Review
  • COVID-19 Questionnaire

First Visit

Your initial appointment will consist of a consultation explaining your diagnosis and treatment options. Please assist us by completing our online patient registration form and uploading the required documents described below at least 5 days prior to your consultation (unless appt is scheduled in less than 5 days).  

PLEASE NOTE:  At the end of completing the online Patient Registration Form (after you hit “Complete and Send”), you will have an opportunity to upload additional documents.  At this time, please be sure to include the information requested below (X-Ray & Referral, ID, a list of your Medications and a copy of your insurance cards). 

  • PATIENT REGISTRATION – ENGLISH:  

  • PATIENT REGISTRATION – SPANISH

  • REFERRAL & X-Ray:  Either send or request your referring doctor email your surgical referral and any panoramic x-rays if taken within 12 months of your appointment date.
  • ID:  Send a copy of your ID or the ID of patient if over 18 yrs of age.
  • MEDICATIONS:  Send a list of medications you are presently taking. Please alert the office if you have a medical conditions (i.e., diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever, etc.) or if you are currently taking any medication (i.e., heart medications, aspirin, anticoagulant therapy, etc.).
  • INSURANCE INFORMATION: Copy and send both sides of your dental and/or medical insurance cards.  Please also bring these cards to the appt…as sometimes the images as sent are not entirely legible when transmitted electronically.
IMPORTANT:  All patients under the age of 18 years of age must be accompanied by a parent or legal guardian at the time of consultation. 
***If there is not a legal guardian available, a Medical Power of Attorney must be provided for the individual accompanying the minor at the time of the visit. 

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Dr Harold Patino, Oral Maxillofacial & Implant Surgery • Address: 2760 Forgue Drive Suite 106 Naperville, IL IL 60564 • Phone: Dr Harold Patino, Oral Maxillofacial & Implant Surgery Phone Number 630.536.1900 • Fax: 630.536.1906

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