Patient Forms

Fill out the applicable form to register as a patient.

Adult / Child

Locations

Complete this form to allow the use of photos showcasing your/your child’s orthodontic success.

Complete this form to update your records and keep your health/dental history up-to-date.

Complete this form to authorize access to medical/orthodontic information and records.

Complete this form to authorize us to provide various orthodontic treatments to you.

Complete this form to authorize us to provide various orthodontic treatments to your child.

Complete this form to authorize us to provide various Invisalign treatments to you or your child.

Let’s get started!