Elgin Family Dental, Inc.

New Patient Forms & Online Payments

Save time waiting in our office by filling out necessary forms online. Feel free to give us a call if you have any questions.

Patient Portal Login

Click Here

Patient Information Form

Click Here

Request an Appointment

Click Here

HIPAA Form

Click Here

Patient Screening for COVID-19

Click Here

HIPAA - Notice of Privacy Practices

Open
Download

Financial Policy

Click Here

Make a Payment

Click Here
Quick Links
Patient Information
Your First Visit
Financial Information
Frequently Asked Questions (FAQs)
Hours, Location and Contact Information
Have Questions? Get in Touch
Contact Us
If you have difficulty using our website, please email us or call us at (512) 285-3322
View the ADA Accessibility Statement
Turn on ADA Views