picchetti logo
Contact Info and Patient Forms to download and print

Contact Us at the Office
Our Doctors

James R. Picchetti, DDS
Amy E. Mueller, DDS
Richard R. Dryer, DDS, MS

Our Address

660 E. Roosevelt Road
Lombard, IL 60148
Phone: 630-627-7651

Patient Forms
Get Free Adobe Reader
Note: You will need the Free Adobe Acrobat Reader to view these forms.

For your convenience, you can download, print and fill out our patient information forms at home:

Adult Patient Information Sheets - (Adobe PDF - 880 KB)
Children Information Sheets - (Adobe PDF - 800 KB)