These links will direct you to a secure server where you may complete your Health History form online.
Child Health History Form – Coming Soon
Adult Health History Form – Coming Soon
You may access the following policy to stay informed of your right to privacy. Please print the policy and keep it for your records.
Printable Patient Forms
If you prefer to download and print the forms, click on the following links to do so.
*These forms may require Adobe Acrobat Reader. Click the Adobe logo above to download.
We are committed to keeping your personal information secure. All of our online forms are submitted via a secure connection and are HIPAA compliant.
210 W Willow Ave
Mon:11 am – 7 pm
Tues:8:30 am – 5 pm
Wed:9:00 am – 5 pm
Thurs:7:30 am – 4 pm
Fri: 9:00 am – 5 pm
Weber Orthodontics offers the most effective orthodontic treatments available with financing which makes it more affordable than ever before. We create beautiful smiles for kids, teens and adults in and around Wheaton, Glen Ellyn, Carol Stream, Naperville, Bloomingdale, Bartlett, Lombard, West Chicago and DuPage County, IL.
Dr. Robert Weber, voted the "Best Orthodontist of Wheaton IL", offers the most advanced braces for children, braces for teens and adult braces, including;metal braces; Damon clear braces, Invisalign for adults, Invisalign for teens, and more. Call: 630-665-5552 FREE Consultation for braces or Invisalign at our Wheaton, IL Orthodontist office.