New Patient Forms

Please take a moment to download and print the new patient paperwork provided here as downloadable .pdf files. Completing this paperwork prior to your appointment saves time on the day of your appointment. Thank you.

Blank New Patient Form

Click here to download a printable Blank New Patient Form.

Health History and HIPPA Form

Click here to download a printable Health History and HIPPA Form.

Supplemental Health Questionnaire - Orthodontic Treatment in the Era of COVID-19

Click here to download a printable Supplemental Health Questionnaire.

HIPPA Notice Form

Click here to download a printable HIPPA Notice Form.

Insurance Authorization Form

Click here to download a printable HIPPA Notice Form.