New Patient Forms
We look forward to meeting you. After we have become aquainted, we will perform a comprehensive exam and discuss the necessary treatment, and any other concerns you may have.
We feel it is important for you to be aware of all available approaches of modern day orthodontics. Our goal is to provide you with the necessary information to make the best decision possible. Fortunately, the specialty of orthodontics has created dramatic improvements in all aspects of treatment, which we are excited about and have been very successful initializing.
Please complete a new patient information form and bring it with you on your visit, as well as any insurance information, if applicable. For information on where we are located, please visit our Maps & Directions page.
We would like to get to know you! So tell us a little about yourself!
- Privacy Policy
- New Patient Information Form - Child
- New Patient Information Form - Adult
These forms require Adobe Acrobat Reader.
Attention Google Chrome, iPad and Mac OSX Safari browser users: Please make sure that you are using Adobe Reader to open and submit the Forms and not the browsers built-in Preview mode. Using Preview mode will not submit the forms successfully. Please be aware the forms may not be compatible with your computer. Please open the forms and print out. Complete the forms and bring into the office. If you are not able to print the forms, the forms will be available in the office for you to complete before your appointment.
Click the Adobe logo to download Adobe Reader.



