New Patient Registration
Fill out the applicable form to register as a patient.
Complete this form to allow the use of photos showcasing your/your child’s orthodontic success.
Health History Update
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.
Orthodontic Treatment Consent
Complete this form to authorize us to provide various orthodontic treatments to you or your child.
Dental Awards Certificate
Please download and complete this document to be entered into a Smile Rewards Program prize drawing. Email the completed form to [email protected] or mail the completed form to the corresponding office location.