Schedule Initial Examination

We are so pleased that you are interested in scheduling your initial examination to meet us. Please use the form below if you want to schedule a new patient examination. We are unable to make routine appointments from the form below. Our office will be in touch with you as soon as we receive your request.  As technology is unpredictable, if you don’t get a phone call from us in a couple of days, please call us at 847-438- 8899.

PLEASE NOTE: This form is for new patients only.


Referred by dentist or other health professionalReferred by a Friend or Family MemberOnline search or Social MediaSchool advertisingChurch Bulletin advertisingSports advertising like LZBSA leagues, Banners at Kits, etc.Saw our sign and building as you drove byYou know Dr. Foley or his familyOther family members have been patientsOther