New Patient?

Please fill out the easy-to-use, private, and secure registration form.

Full Online Forms
(opens in a new tab)
COVID Disclosure Form
(opens in a new tab)

Printable Forms Below  

Patient Registration Form
Medical History Form
HIPAA Consent Form
Records Release
Commitment Letter Cancellations

Pennino Family Dentistry Today

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Conveniently located and fully wheelchair accessible with plenty of parking and hours that suit the busiest schedule, Pennino Family Dentistry has been caring for your neighbors since 1990! Our caring family of doctors and compassionate team look forward to meeting you so they can help you and your family keep your teeth healthy and your smile bright.

We Submit Insurance Claims On Your Behalf

  Making insurance easy! We understand & explain details & file claims on your behalf!
  No surprises! Treatment plans always reviewed with you before we proceed.
  No insurance? The PFD Loyalty Plan is for you!

Pennino Family Dentistry Today

Image

Conveniently located and fully wheelchair accessible with plenty of parking and hours that suit the busiest schedule, Pennino Family Dentistry has been caring for your neighbors since 1990! Our caring family of doctors and compassionate team look forward to meeting you so they can help you and your family keep your teeth healthy and your smile bright.

New Patient?

Please fill out the easy-to-use, private, and secure registration form.

Full Online Forms
(opens in a new tab)
COVID Disclosure Form
(opens in a new tab)

Printable Forms Below  

Patient Registration Form
Medical History Form
HIPAA Consent Form
Records Release
Commitment Letter Cancellations

We Submit Insurance Claims On Your Behalf

  Making insurance easy! We understand & explain details & file claims on your behalf!
  No surprises! Treatment plans always reviewed with you before we proceed.
  No insurance? The PFD Loyalty Plan is for you!

Address

203 W. Northwest Hwy,
Barrington, IL 60010-3104, United States.

Phone

+1 (847) 713-1819

Email

Hours

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