Patient Forms

Thank you for choosing our office for your dental needs.

Our dentist and team strive to provide a comfortable environment where you will feel confident in the level of dental care that you receive in Sullivan, Illinois. When you arrive for your first visit at Sullivan Dental Clinic, please be prepared to complete all insurance and health information forms that will allow us to begin your dental treatment. We will ask you to fill out several forms that will get you acquainted with our office. If you have any questions or would like to set up your appointment with Dr. Chris Havlik, please contact us at 217-728-8711!

Our Location

Serving Moultrie County & the Following Cities

Sullivan | Windsor | Mattoon | Arcola | Arthur | Atwood | Hammond | Lovington | Bethany | Mount Zion | Dalton City | Findlay | Shelbyville | Humbolt | Gays