Forms for Appointments with Your Dentist in Chicago

Fill out the contact form below and we will respond as soon as possible

We process most insurances for your convenience. Ask us about Citihealth Finance Plan or CareCredit with zero interest for 1 year.

Patient Testimonials

PROCEDURES

Any procedures that you add to your Procedures page will be displayed here.

Voted one of the best Chicago, IL clinics in Dentistry

Appointment request

Need an appointment with a dentist in Chicago ? Requesting an appointment at our Chicago, IL family and cosmetic dental office is now easier than ever. Fill out the form below and we'll contact you to find a time that fits your schedule. Start your journey towards a beautiful smile with us today!

Patient Name*

Phone Number*

Email Address

Are you a current patient?

No Yes

Best time(s) to call?

Morning Noon Afternoon Evening

Preferred Appt Date

Preferred Appt Time

Message

Describe the nature of your appointment or any other comments

Bright Dental of Logan Square is a reputable Chicago dentist. Visit our site to learn more about our dental practice.