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Save time at your first visit by downloading, printing, and completing these forms ahead of time. Bring the completed form with you to your appointment, and our front desk team will take care of the rest.

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Visit Dr. Raffi General & Implant Dentistry

Chicago Office

6215 W Touhy Ave

Chicago, IL 60646

(773) 792-1043

Mon9:30am – 4pm
Tue9:30am – 5:30pm
Wed9am – 5pm
Thu9am – 11am
Fri10am – 1:30pm
Sat – SunClosed
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Bourbonnais Office

876 N Convent St

Bourbonnais, IL 60914

(815) 933-4121

Mon9:30am – 4pm
Tue9:30am – 6pm
Wed9am – 5pm
Thu9am – 1pm
Fri9am – 1pm
Sat – SunClosed
Get Directions