Patient receiving dental examination on chair in orthodontic office with staff member present.

Online Patient Forms for a Smooth Visit

To help make your visit as smooth as possible, we provide all necessary patient forms online. You can download, complete, and bring them to your appointment, saving time in the office and allowing us to focus on your orthodontic care. Our forms include new patient information, medical history, and insurance details to ensure we have everything we need to provide you with personalized treatment.

You may access the following forms to assist us with your care. Please complete the following forms and click the submit button at the bottom of the form.
Adult New Patient
Child New Patient
Doctor Referral Form
*We are committed to keeping your personal information secure. All of our online forms are submitted via a secure connection and are HIPAA compliant.

Welcoming New Patients!

Request Appointment
(440) 442-4800