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217-562-3330
Pana Family Dental logo.

128 S Locust St, Pana, IL 62557

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  • About
    • Meet The Dentists
      • Dr. Kelly J. Clark
      • Dr. Dale Stockton
    • Our Technology
    • Reviews
  • Services
    • General Dentistry
      • Dental Cleanings & Exams
      • Dental Sealants
      • Mouth Guards
      • Kid-Friendly Dentistry
    • Restorative Dentistry
      • Composite Fillings
      • Dental Crowns
      • Dental Bridges
      • Dentures
      • Root Canal Therapy
    • Cosmetic Dentistry
      • Dental Bonding
      • Veneers
      • Lumineers
      • Teeth Whitening
      • Invisalign
      • SureSmile®
    • TMJ Treatment
      • Night Guards
      • Occlusal Adjustment
    • Oral Surgery
      • Tooth Extractions
      • Dental Implants
      • Bone Grafting
    • Periodontics
      • Periodontal (Gum) Disease
      • Scaling and Root Planing
      • Arestin
    • Emergency Dentistry
  • New Patients
    • Patient Forms
    • Insurance and Financing
  • Contact
217-562-3330
Request Appointment

Patient Forms

Complete your paperwork ahead of time to make your next visit quicker and more convenient.
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Save Time Before Your Visit

To help your appointment run as smoothly as possible, we ask that new patients complete our intake forms before arriving at our office. Filling out these forms in advance allows our team to review your information ahead of time and helps reduce wait times once you arrive. If you are unable to complete the forms beforehand, you are welcome to arrive a few minutes early to fill them out in our office.
Patient Registration Form
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Medical History Main Report
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New Patients & Emergency Appointments Welcome

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217-562-3330

Hear From Our Happy Patients

Katie M.

Google logo.
Five orange stars representing an excellent customer rating for dental services.

Had an appointment this morning 7/14/23. Had one the best experiences! I have not had a bad experience with Pana Family Dental. Dr. Clarke and his assistants were very informative went step by step with me on the dental plan.

Thank you Pana Family Dental!

John B.

Google logo.
Five orange stars representing an excellent customer rating for dental services.
Was a walk-in with a broken crown. In and out in about 15 minutes. Today, the crown broke again. My only problem with them is that they are not open today (Friday) to take care of my emergency.

Kelly G.

Google logo.
Five orange stars representing an excellent customer rating for dental services.
Great experience each time I go. Staff is so friendly and they make you feel at home. No.pain dentistry at its finest!

Marrilyn

Google logo.
Five orange stars representing an excellent customer rating for dental services.
Doctor Clark is the most pleasant and gentle dentist I have ever seen. He is the best.

Papa N.

Google logo.
Five orange stars representing an excellent customer rating for dental services.
Excellent service. Repaired/replaced broken tooth in a couple of hours. No pain!
    Read More Reviews
    Connect With Us

    Located in Pana, IL

    Request An Appointment

    Contact Info

    128 S Locust St, Pana, IL 62557

    (opens in a new tab)

    217-562-3330

    Office Hours

    Monday: 8:00am - 4:00pm
    Tuesday: 8:00am - 4:00pm
    Wednesday: 8:00am - 4:00pm
    Thursday: 8:00am - 4:00pm
    Friday: Closed
    Saturday: Closed
    Sunday: Closed

    ©2026 Pana Family Dental. All Rights Reserved. Sitemap | Privacy Policy | Accessibility
    Pana Family Dental logo.
    • About
      • ← Back
      • Meet The Dentists
        • ← Back
        • Dr. Kelly J. Clark
        • Dr. Dale Stockton
      • Our Technology
      • Reviews
    • Services
      • ← Back
      • General Dentistry
        • ← Back
        • Dental Cleanings & Exams
        • Dental Sealants
        • Mouth Guards
        • Kid-Friendly Dentistry
      • Restorative Dentistry
        • ← Back
        • Composite Fillings
        • Dental Crowns
        • Dental Bridges
        • Dentures
        • Root Canal Therapy
      • Cosmetic Dentistry
        • ← Back
        • Dental Bonding
        • Veneers
        • Lumineers
        • Teeth Whitening
        • Invisalign
        • SureSmile®
      • TMJ Treatment
        • ← Back
        • Night Guards
        • Occlusal Adjustment
      • Oral Surgery
        • ← Back
        • Tooth Extractions
        • Dental Implants
        • Bone Grafting
      • Periodontics
        • ← Back
        • Periodontal (Gum) Disease
        • Scaling and Root Planing
        • Arestin
      • Emergency Dentistry
    • New Patients
      • ← Back
      • Patient Forms
      • Insurance and Financing
    • Contact

    217-562-3330

    128 S Locust St, Pana, IL 62557

    (opens in a new tab)
    Request Appointment