Patient Information and Medical History Form
Please complete this form prior to your initial visit for your orthodontic consultation. By doing so, you'll save time in our office. However, should you prefer to complete it in office, please arrive 20 minutes early to do so.
Complete Forms Below Prior to Diagnostic Records Appointment
You may complete the following forms by downloading and completing with Adobe fill & sign and returning them to us online, or you may print and complete them and bring them with you to your diagnostic records appointment.
HIPAA Notice of Privacy Practices
All new starting patients must read and sign the following form:
https://docs.google.com/document/d/1uf-qhdeF1MS_rFTiPcAQmgYGPGRAhmlGwefQAycfg5s/edit?usp=sharing
https://docs.google.com/document/d/1KT1Hbz7xr038Knj5s8oedgYNv6lOMpqfEL3tpGIHCGo/edit?usp=sharing
Temporo Mandibular Joint Questionnaire
All new starting patients must complete and sign the following form:
Patient Informed Consent
All new starting patients must complete and sign the following form:
Invisalign Informed Consent and Agreement
New incoming Invisalign patients only, please read and sign the following form:
https://docs.google.com/document/d/1Q9OsoRqtppVzoSeZOmca4lRpdWQOF7WD_9V9V3fc4Qw/edit?usp=sharing
