Oak Park Dental Studio
Joseph Lepkowski, DDS

6630 W. Roosevelt Road
Oak Park, IL 60304

(708) 386-2233
Fax (866) 216-6177

We would like to welcome all of our New Patients!

Please take a moment to print out and complete the New Patient Forms below and bring them to your first appointment.

Medical History Form

Practice Guidelines

Credit Card Authorization Form

Medical History Form Spanish

Practice Guidelines Spanish

Credit Card Authorization Form Spanish

COVID-19 Patient Disclosures [English] [Español]

COVID-19 Pandemic Dental Treatment Notice and Acknowledgement of Risk [English] [Español]

Referral Instructions

Pre Treatement Instruction for Oral Surgery

Oral Care After Surgery