Patient Info Sheets

Online Health History Form

Here are our original forms if you would prefer to print, fill them out, and bring to your first appointment.

  • Child Patient Info, Health History, and Misc. Forms PDF
  • Adult Patient Info, Health History, and Misc. Forms PDF
  • Assignment of Benefits and Authorization Release PDF
  • Patient Email Request PDF

  • Active Positioner PDF
  • Arch Development Appliance PDF
  • Care of Braces PDF
  • Care of Retainers PDF
  • Elastics PDF
  • Emergencies PDF
  • Headgear PDF
  • Mini Screw Implant PDF
  • Palatal Expander PDF
  • Quadhelix PDF
  • Removable Expander PDF
  • Separators PDF

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