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For Our New Patients

Info for Your First Visit

For comfortable and personalized dental care, come to Total Care Dental when you need a cosmetic dentist, implant dentist or dental emergency dentist. We’ll give you the total dental care and smile makeover that you deserve. With dentist Dr. E. Edward Azab dedicated to your smile health, Total Care Dental offers a wide array of cosmetic, restorative and surgical dental services.

Request An AppointmentSERVICES


* Always bring your insurance card and a form of ID.

* You may also print the below forms, fill them in and bring them with you for your first visit.


You may call our office to schedule an appointment, or request an appointment on line and one of our staff will call you to confirm your appointment.

You can reach us at: 773-589-1400 Or you can click on the Request An Appointment tab above.

If at any time you are unable to keep your appointment, please notify us. We will be glad to reschedule your appointment at a more favorable time. We greatly appreciate your time and consideration and look forward to seeing you.


We accept most insurance plans. Please call us to verify whether or not we are participating with a particular insurance company.


Enjoy No down-payment and interest-free financing for up to 24 month through Care Credit or Lending Club.

Flexibility and convenience when managing your family’s out-of-pocket healthcare expenses.
Get an answer right away. Get started right away.
Purchases of $1,000 or more are eligible for a 24, 36 and 48 month offer.
Purchases of $2,500 or more are eligible for a 60 month offer.
Apply online at www.carecredit.com or call 800-365-8295


Please call our office if you have any questions regarding an invoice; we will be happy to assist you.


If you have made your initial appointment, you can preregister by clicking on the links below to download our New Patient Forms. Please print and complete the forms prior to your arrival. This will help to speed up the new patient registration process.

Patient Resigtration Form

Medical History Form

Office Policies Form

Total Care Dental


Whether you need emergency care, implants, oral surgery, or cosmetic dentistry, Total Care Dental is your destination. Currently serving patients from O'Hare, Norridge, Park Ridge, Chicago, Oak Park, Lincoln Park, Portage Park, Lincolnwood and Mayfair, Mt Prospect, Niles, Schiller Park, Melrose Park, Skokie and Des Plaines.

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