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Patient Forms

New Patients

Thank you for calling our office! We look forward to meeting with you. Please download and print both sides of the appropriate forms, fill it out the best you can, and bring it with you to your appointment.

Each form opens in a new browser window.

 

CHILD HISTORY FORMS (under 18 years of age)

Click here to download

 

ADULT HISTORY FORMS (over 18 years of age AND financially responsible for the account)

Click here to download

 

Current Patients

We love to show off our patient's beautiful smiles, with braces or without! If you would like us to display a picture of you (smiling, of course!) on our site, please download and print the Photo Release Form below, fill it out, and send it with your photo to our office. If you're under 18, the form requires a parent or guardian signature as well.

PATIENT PHOTO RELEASE FORM

Click here to download

 

 

 

 

 

 

 

 

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