***Patient Forms***

The first visit to our office is designed to get you better acquainted with all we offer as well as introduce you to Our Doctor and our caring staff. We encourage questions and do our best to always deliver quality care.

Please take a moment prior to your scheduled consultation appointment to download our patient forms. We ask that you complete the forms and bring them with you to your first appointment so it save you time, and we may better answer your questions in a timely manner. 

• For patients younger than 18 years: Please fill out both Forms: (A) and (C) below. 
• For adult patients: Please fill out both Forms: (B) and (C) below. 

Patient (Children) Forms (A)  - (For Patients who are not yet reached 18 years of age)

Patient (Adult) Forms (B) - (For Patients who are adults)

HIPAA Privacy Act (C) - (For ALL patients to fill out, please.)

 Thank you for your confidence in our office, we look forward to assisting you with all your orthodontic needs.

This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.