The following forms may be done prior to your visit. Please select the appropriate form, complete, and bring it with you to your visit. If you are unable to print these documents, please call or contact our office by email and we will mail your forms.

Please use these forms which are formatted as word documents. If you are bringing a child under the age of 18, use the under 18 medical history form. Patients over the age of 18 will use the adult medical history form. After you have downloaded these forms, they may be filled out on your computer and printed or you can print them out and complete later.
The remaining forms do not need to be done prior to your visit.

• Under 18 Medical History
  
• Adult Medical History
• Confirmation of Eligibility
• History Form for Patient with TMD
• Insurance Endorsement
• Medical Summary Report
• Request for Release of Patient Records
• Return Correspondence Regarding Requested Treatment
• Supplemental Orthodontic History Questionnaire for Patients with Additional Needs
• Transfer Patient in Active Treatment
• Transfer Patient in Retention