New Patient Medical Registration
Please fill out this form completely before orthodontic care begins.
New Patient Privacy Notice
This notice describes how medical information about you may be used and disclosed and how you can get access to this information.
New Patient Privacy Consent
This form is option under the new patient privacy regulations recently issues by the United States Department of Health and Human Services. Prior to commencing your orthodontic treatment you should review, sign and date this form.
Appointment Policy
In order to insure quality orthodontic care, we find it helpful if our parents and patient understand the manner in which we schedule appointments. Please review this information and sign before orthodontic treatment begins.