For your convenience, several of our forms are available online.

Hello and Welcome

NEW to the practice?  Start here.  Instructions.

Child/Teen Registration
Less than 18 years of age.

Online form for Children/Teens NEW to the practice.  Established patients should submit only IF directed by our office.

Adult Registration
18+ years of age

Online form for Adults NEW to the practice.  Established patients should submit only IF directed by our office.

Insurance Intake

Online form to provide your insurance details.

Orthodontists are Specialists

The importance of engaging an ORTHODONTIST for orthodontic care.

Credit Card Authorization

Print and complete for recurring credit card payments.

Notice Of Privacy Practices

Explanatory information: For your reference.

Patient Wellness Screening & Consent
Visitor Wellness Screening & Consent