Dr. Rebecca Hartfield, DMD
A Great Dentist

New Patient Forms

Please click the links below for the Health History and HIPPA forms. To better serve you, please print and complete these forms and then bring them and your insurance card to your first appointment.

For your first appointment we ask that you show up 10-15 minutes early to allow time to review your paperwork and check on your insurance. This will help us keep you and the rest of our patients from experiencing unnecessary wait times.

Click for the BBB Business Review of this Dentists in Belleville IL