Making an appointment with Horizon is easy.
Option 1: Complete this form online and click send.
Option 2: Print form, complete it and fax it to us at (773) 509-0733 and we will contact you.
Option 3: Call us for an appointment at (773) 509-0029 during business hours.

First name
Last name
Daytime phone
Email address
What time of the day and day of the week works best for you?		Daytime (8a - 5p)	Evening (5p - 7p)
		Mon	Wed
		Fri	Sat morning
What types of dental services do you need?  Please be as brief or as specific as you like such as "I want to whiten my teeth" or "Exam & Cleaning" or "I want to know what it would take to fix my teeth."
Are you a new patient?		Yes	No
How did you hear about us?		Friend / Relative Internet Outside Sign Phone Book Postcard Other