Patient Forms

Please take a minute to print and fill out the patient information forms before your first appointment:

• Child Orthodontic Forms

  • Office Policies
  • New Patient Letter
  • Medical History
  • Notice of Privacy Practices
  • Acknowledgement of Receipt of Notice of Privacy Practices
  • Photo Consent and Release
  • AAOIC Supplemental Informed Consent – COVID 19
  • Informed Consent
  • Patient Screening Form – COVID 19​​

 

• Adult Orthodontic Forms

  • Office Policies
  • New Patient Letter
  • Medical History
  • Notice of Privacy Practices
  • Acknowledgement of Receipt of Notice of Privacy Practices 
  • Informed Consent
  • Photo Consent and Release
  • AAOIC Supplmental Informed Consent - COVID 19
  • Patient Screening Form – COVID 19

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