Patient Forms
Online Patient Forms
The below patient forms can be completed online before your visit to Smile Gallery Orthodontics. Click the links below to get started!
Patient Intake Form
Click here to access our patient intake form to download, print, or complete ahead of time.
Our Mission
Our orthodontic office provides outstanding orthodontic care to all of our patients. Our goal is to keep your smile healthy and bright. Our orthodontic professionals will answer any questions you may have about your treatments, and we will strive to make sure you and your family are comfortable during your entire visit to our office.
Excellence in Orthodontic Care for the Entire Family
Contact Us Today for an Appointment
Don’t wait, schedule your appointment with our friendly orthodontic team today and keep your smile healthy and bright.
Orthodontist Near You
Address:
5080 N Lincoln Avenue
Lincoln Square, Chicago, IL 60625
Hours
Monday: 11:00 AM - 7:00 PM*
Tuesday: 11:00 AM - 7:00 PM*
Wednesday: 11:00 AM - 7:00 PM*
Thursday: 11:00 AM - 7:00 PM*
Friday: 11:00 AM - 7:00 PM*
Saturday: 9:00 AM - 3:00 PM*
Sunday: Closed
*By Appointment Only
Phone:
(312) 500-2022