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New Patient Forms

Dr. Aver understands you have a choice when choosing your Dentist, and she thanks you for ensuring your care to her.

What to Bring: Forms, Medications List, X-Rays

Prior to your first visit, we ask you to complete the documents below and bring them with you to your first appointment

Please bring a list of medications, both prescription and over-the-counter, with the phone number of your current medical doctor, homeopath, chiropractor, herbalist or any of the other therapists you work with.

If you have any X-rays from your previous dentist that are less than one year old and are of good (readable) quality, please have those X-rays with you or please email them to:

New Patient Forms

Please complete all the forms below and bring them with you on your first visit

New Patient Forms (please complete and email to prior to your first appointment)

HIPAA Privacy Act (for your reference)

First Visit


When you first meet Dr. Aver, you learn very quickly that her interests in her patients go beyond simply “fixing a broken tooth.” She will take the time to get to know you and the state of your overall health. Dr. Aver will go over your medical history and address any and all specific questions you have and/or provide consultation related to a certain issue you may be experiencing.

Whether you realize it or not, an examination from Dr. Aver is most likely very different from what you have experienced from traditional Dentists in the past. As part of her examination, she will perform several screenings and evaluations. Dr. Aver examines your head and neck for possible abnormalities and cancer by touching your neck muscle, salivary glands and lymph nodes. She performs a craniosacral evaluation, which is done to release any tension in the jaw, bones and teeth, restoring a natural balance to the patient’s mouth, hard palate, and temporomandibular joints through gentle touches and very light pressure.

A noninvasive Temporomandibular Disorder (TMD) exam will also be done. Dr. Aver will analyze your left and right Temporomandibular Joints (Jaw Joints), since according to the teachings of the Oriental medicine they are considered to be one of the major energy points of the body.

Your oral exam will include oral cancer screen , tongue screening , and microscopic bacterial evaluation.

A traditional exam of the teeth is done; noting missing teeth and existing restorations. Then a comprehensive gum exam and evaluation is performed; measure the periodontal pockets (gum pocket) around your teeth to diagnose and detect possible gum disease.

Finally, using an intraoral camera we will analyze your teeth using magnification and will take any necessary digital x-rays.

Dr. Aver takes the time to discuss in detail wellness and treatment options with her patients. She always works with you to develop the most appropriate treatment plan that is inline with your health philosophy and needs.

If you have any questions, please contact our office at 847-998-5100.

We look forward to meeting you soon!

Please Note: 

At the Center for Dental Healing we specialize in patients with sensitive health issues such as fragrance allergies.  Due to this, if at all possible, we respectfully request that our patients avoid strong perfumes or other fragrances when visiting the office.  Thank you.

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