smile

Forms


Here you will find health history forms for children and adults. These forms will need to be filled out for your orthodontic evaluation. The information we collect from these health history forms will give us information on your wants and needs for a beautiful smile. Please print out the appropriate form and bring it with you to your Orthodontic evaluation.




Click here to open the Adult Health History form.

Click here to open the Child Health History form.

Click here to open the HIPAA Privacy Consent Form.