Growing Smiles

Comment Form

Office Location | Comment Form | Dental Referral

We enjoy having you as a patient and we are committed to making our relationship together as fulfilling as possible. In order to continue to serve happy patients, we would appreciate your suggestions and comments about our services.

Please fill out the following form and click the SUBMIT button to send us your comments. Because your comments are sent over the Internet, please do not include sensitive or personal information on this form.

Tell Us About Your Visit:

  1. Were you pleased with our scheduling system and the general flow of your appointment?

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  2. Did you feel like our doctor(s) and team explained fully your treatment options, instructions, and questions?

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  3. Did you feel like our team was ready and eager to assist you?

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  4. Are there any areas in which our service could be improved?

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  5. Our practice values happy, satisfied patients and our success is based on our patients' recommendations. Would you refer your friends and family to us?

Contact Information:

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The pediatric dental practice of Drs. Kristin Elliot, Reena Shah, and Ray Jurado provides pediatric dentistry for infants, toddlers, and children in Chicago, IL (Illinois). Our doctors offer gentle, safe, and the highest quality pediatric dentistry for healthy growing smiles. Contact our practice to schedule an appointment.

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