When arriving at the office, please call before entering the building (630.469.5385). A staff member will provide further instructions at that time.  All persons coming to the office are required to wear a face mask, to undergo screening for fever and symptoms consistent with COVID-19, and use the provided hand sanitizer.  At the completion of dental care, you will be asked to immediately re-don your face covering and use hand sanitizer when departing the building.


 


Within two days of the dental care or treatment, if you develop symptoms of, or are diagnosed with, COVID-19, you are requested to inform the office.  



Please call the office - 630.469.5385 - for the latest information and to make an appointment.



Click to email Dr. Toth Call 630 469 5385 to schedule an appointment

630.469.5385

Click to email Dr. Toth's office

Info@DrToth.us

505 Anthony, Glen Ellyn, Illinois 60137  Map & Directions

Welcome to our practice.  To make your first visit as painless as possible, please complete the two forms below and bring them with you to the office.

You may print the forms and write in the information on the forms.

Or using the free Adobe Reader you may key in your responses.  After opening the form in Adobe Reader, click on the box labeled Highlight Existing Fields to more easily see the fields to complete. When completed, please be sure you print the forms and bring them with you to your first visit..


Click to download the free Adobe Reader

Click the form name to print


Click the form name to complete online and then print

Patient Registration & Consent

Click for Patient Registration and Consent form


Patient Registration & Consent

Click for Patient Registration online form

Medical & Dental History

Click for Medical and Dental History form


Medical & Dental History

Click for Medical and Dental History online form