Patient Forms

baby boy icon for tongue tie in Chicago

Infant Frenectomy Medical History

Fill out this form before your consultation with Dr. EricaThis PDF form is fillable in your computer/laptop browser. However if you have any issue, you can always print it, fill it out, & bring it to your visit.

(Fillable forms work best on a Desktop computer. It may not be compatible with iPhone or Android phones.)

1 year & Older Frenectomy Medical History

Fill out this form before your consultation with Dr. EricaThis PDF form is fillable in your computer/laptop browser. However if you have any issue, you can always print it, fill it out, & bring it to your visit.

(Fillable forms work best on a Desktop computer. It may not be compatible with iPhone or Android phones.)