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Paula S. Fillak, DMD, Ltd.
25214 W. Reed St Channahon, IL 60410(815) 467-4596
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New Patients

Patient Forms, Map and Directions to Channahon Office

Your first visit to Paula S. Fillak, DMD, Ltd. establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. To understand what to expect for your first visit to our practice, please read through this page. You'll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There's also background information about our committed staff and our first visit procedures. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment.

Mission Statement

Our goal is to treat every patient as if they were members of our own families. We achieve this by:

  • Providing a relaxed, friendly and comfortable atmosphere and treating everyone in a caring, patient and gentle manner.
  • Listening carefully to all patient concerns and then after performing a meticulous evaluation, providing a variety of treatment options.
  • Helping patients become active participants in their dental health through education.
  • Delivering the highest level of dental care, using the most up to date equipment, materials, and technology and always staying abreast of the newest advances in dentistry through continuing education.
  • Maintaining the highest levels of cleanliness and infection control.

We pride ourselves in our honesty, integrity, professionalism and commitment to excellence.


 

 

Patient Forms
Please take advantage of printing and filling out these forms at your convenience and bring them with you for your first appointment. This will allow for you to take your time to thouroughly and accurately complete each form and will help us to expedite your first visit:

NEW PATIENT REGISTRATION FORM

NEW PATIENT HEALTH HISTORY FORM 

Notice of Privacy Practices

Notice of Privacy Practices Acknowledgement

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

 


 

 

What To Expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.

 

 


 

 

Driving Directions

 

Learn More

  • General Dentistry
  • Teeth Whitening
  • Crowns & Bridgework
  • Dental Implants

Patient Education

Patient Education
  • Educational Videos
  • Cosmetic & General Dentistry
    • Cosmetic Tooth Bonding
    • Crowns & Bridgework
    • Fillings
    • Gummy Smiles
    • Inlays & Onlays
    • Mouthguards for Adults
    • Mouthguards for Children
    • Nitrous Oxide
    • Porcelain Veneers
    • Removable Dentures
    • Smile Makeover
    • Snoring & Sleep Apnea
    • Teeth Whitening
    • TMD
    • Tooth-Colored Fillings
    • Tooth Contouring & Reshaping
    • Tooth Decay Prevention
    • Tooth Wear
  • Emergency Care
    • Gum Injuries
    • Orthodontic Emergencies
    • Tooth Pain
    • Traumatic Dental Injuries
  • Endodontics
    • Combined Root Canal & Gum Problems
    • Cracked Teeth
    • Root Canal Retreatment
    • Root Canal Surgery (Apicoectomy)
    • Root Canal Treatment
    • Root Canal Treatment FAQs
    • Root Canal Treatment for Children
    • Tooth Sensitivity
    • Whitening Traumatized Teeth
  • Implant Dentistry
    • Bone Grafting
    • Dental Implants FAQs
    • Fixed Dentures
    • Hidden Consequences of Losing Teeth
    • Top Reasons to Choose Dental Implants
  • Oral Health
    • Aging & Dental Health
    • Antibiotic Premedicationfor Dental Treatments
    • Bad Breath
    • Blood Pressure Medications & Your Gums
    • Diabetes & Oral Health
    • Dry Mouth
    • Eating Disorders & Oral Health
    • Fluoride
    • Geographic Tongue
    • Missing Teeth
    • Nutrition & Oral Health
    • Oral Cancer
    • Oral Piercings
    • Osteoporosis & Oral Health
    • Pregnancy, Hormones & Oral Health
    • Preventive Dentistry
    • Professional Teeth Cleanings
    • Stress & Oral Habits
  • Oral Hygiene
    • How To Brush
    • How To Floss
    • Interdental Cleaning Devices
    • Mouthrinses
    • Oral Hygiene for Kids
    • Tips to Prevent Cavities
    • Toothpaste
  • Oral Surgery
    • Blood Thinners & Dental Procedures
    • Bone Grafting
    • Cleft Lip & Palate Repair
    • Corrective Jaw (Orthognathic) Surgery
    • Extractions
    • Facial Trauma and Reconstructive Surgery
    • Headaches & Migraines
    • Oral Cancer Screening
    • Oral Diagnosis and Biopsies
    • Sedation Dentistry
    • Sinus Surgery
    • Wisdom Teeth
  • Pediatric Dentistry
    • Age One Dental Visit
    • Fluoride & Your Child
    • Nitrous Oxide for Children
    • Pregnancy & Your Child's Developing Teeth
    • Sealants
    • Sleep Apnea & Behavior Problems in Children
    • Space Maintainers
    • Teething
    • Thumb Sucking
  • Periodontal Therapy
    • Cosmetic Gum Surgery
    • Gum Grafting
    • Loose Teeth & Bite Problems
    • Non-Surgical Periodontal Treatment
    • Oral Systemic Connection
    • Periodontal (Gum) Disease
    • Periodontal Flap Surgery
    • Professional Teeth Cleanings
    • Ultrasonic Cleanings

Our Location

25214 W. Reed St
Channahon, IL 60410
(815) 467-4596

Map & directions
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PATIENT REGISTRATION FORM

MEDICAL HISTORY FORM 

NOTICE OF PRIVACY PRACTICES

AKNOWLEDGEMENT OF PRIVACY PRACTICES 

FINANCIAL POLICY

Dentist - Channahon, Paula S. Fillak, DMD, Ltd., 25214 W. Reed St, Channahon, IL 60410 (815) 467-4596

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