Special Needs Dentistry


Monday -Thursday
7:30AM - 4:30PM

The office is closed for lunch from 12:45pm-1:45pm.

New Patients

Click on the link below to download forms for new patient registration.

Please fill out the entire packet and bring with you to your child's first appointment.

NOTE: For families with multiple children, only one registration packet is needed. However, please fill out a separate medical history form for each child

New Patient Packet
New Patient Packet - Spanish

If you have any questions or concerns, please contact us at (815) 544-0909.

**We accept and work with most insurance companies!

Malcolm Pediatric Dentistry | Dr. Andy Malcolm
163 Cadillac Court, Suite 3 • Belvidere, Illinois 61008 • Tel: (815) 544-0909 • Fax: (815) 544-0922 • Belvidere Illinois Dentist Dentists Dentistry Doctors