Patient Forms

Orthodontic Registration Forms

We kindly recommend that all new patients pre-register with our office by filling out our New Patient forms:

New Patient Registration Form (Minor)

New Patient Registration Form (Adult)

Dental and Health Questionnaire

Referral Source

Consent Form

HIPAA

If you are unable to fill out the forms before your appointment, please try to arrive 15 minutes prior to your first appointment to fill out all patient registration forms in-office. In addition, all new and existing patients will be asked to fill out a screening form prior to every appointment. Please click here Wellness Screening & Consent

You can download the forms below, fill out and resend to us. Or use the links for our online forms.

• Registration Form
• Dental Health

If you are unable to fill out the forms before your appointment, please try to arrive 15 minutes prior to your first appointment to fill out all patient registration forms in-office. These additional forms may be printed, filled out and brought to your appointment otherwise those can be filled out in-office as well, provided you arrive early.

• Consent (PDF)
• HIPPA (PDF)
• Referral Source (PDF)

In addition, all new and existing patients will be asked to fill out a screening form prior to every appointment. Please click here.