New Patient Information
What to Expect
Your first visit to Hamilton House Dentistry is an important one as it introduces you to our practice and our friendly staff. During the first visit, we will collect background information like medical history as well as take the time to get to know Dr. Samuels. Below you will find additional information to view before your first visit to Hamilton House Dentistry. Also, to help ensure your first visit goes as smoothly as possible, we invite you to take a few minutes to explore our website to educate yourself about the some of the dentistry and smile solutions we offer.
In order to make your visit an easy process, you can request an appointment from our website or call our office. Our friendly staff will assist you in getting everything set up.
We are In-Network with most Dental PPO’s including:
- BlueCross Blue Shield PPO
- Connection Dental PPO
- Dearborn National
- Delta Dental Premier PPO
- Met Life
- United Healthcare and Several Others
Online Patient Forms
This form can be filled out online before your first visit.
So that we may better serve you, please complete the forms below. We have made our new patient forms available to you as Word files. For your convenience, we recommend printing and completing these forms at home and bringing them with you for your scheduled appointment in our Geneva, IL Family dental office.
- Patient Registration Form
- Patient Medical History
- Consent for Treatment Form
- HIPAA Agreement
- Office Policy
We look forward to your first visit!