Thomas L. Stone, MD DDS FACS
L. F. Peede, Jr., DMD, PC
Justin Evanson, MD, DDS
303.806.8600
Contact Us

New Patient Form

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Visiting the Englewood office on South Clarkson? Please click here

Visiting the Aurora office on South Peoria? Please click here

 

 

Our online forms use the Adobe Acrobat 5 Plugin to allow patients the convenience of completing their health history and registration forms from home or work. Please download the free plugin from Adobe's web site if it is not already installed on your system. It is important that you have at least version 5 of the plugin, in order to successfully use our forms.

  • I want to thank you and your staff for the excellent care you all provided. It means a lot to me. Your staff is exceptional.
    Sheila

  • I have had very good care here and could not ask for more.
    Helen

  • I want to mention how sweet and comforting your assistant Jennifer was to me. She did a really good job and I was very impressed!
    Dalyn (teen wisdom teeth patient)

  • You all were very helpful and professional. Dr. Stone is the best in the land!
    Ray

  • I appreciate all the efforts of the staff making the procedure as smooth as possible.
    Dan

  • Your staff is so nice and friendly.
    Melody

  • Thank you for a relatively painless surgery. It was even easier to deal with than I had originally thought. I am also a big fan of the Gatorade packet!
    Nick (teen wisdom teeth patient)

  • You all have always been so nice to me when I have had need to visit your office. Thank you, Thank you, your kindness is greatly appreciated.
    Phyllis

  • Dr. Stone, you and your staff are the best and your shot’s don’t hurt!
    Kathy

  • I appreciated Dr. Stone taking my case. He was patient and tolerant of my nervousness throughout the entire process.
    Stephanie