Schedule an Appointment

To schedule a Pediatric Dental Clinic appointment, call 847-930-6721

To schedule a WIC appointment, call 847-741-7370

If you prefer we contact you to schedule your appointment, fill out the following form and we will call you.

Company

This field is for validation purposes and should be left unchanged.

Service Appointment is for...(Required)

Dental

WIC

Contact's Name(Required)

First Last

Contact's Email(Required)

Contact's Phone(Required)

Participant's Name(Required)

First Last

Participant's Birth Date(Required)

Message

CAPTCHA