top of page

PATIENT FORMS

Please take a minute to print and fill out the patient information form before your first appointment:

Health History (English)
Historia médica (Español)
Patient Registration
Notice of Privacy Practices
Attention Female Patient
Medical Release
Pulpotomy of Primary Teeth Consent
Root Canal Treament Consent
Flipper Consent
Invisalign / Orthodontic Constent
How to Care For Your Braces
Cómo Cuidar De Sus Apoyos (Español)
Post-Op Instructions for Extractions
Retainer Contract
Photo/Facebook Consent
Ortho Diagnosis Card

If you're unable to open PDF files, you can get Adobe Reader® for free.

bottom of page