New Patient Forms
You may access the following forms to assist us with your care. Please complete the following forms, and click the "Submit" button at the bottom of each form.
- CONSENT FOR USE & DISCLOSURE OF HEALTH INFORMATION
- Patient Registration Adult
- Patient Registration Child
- Patient Registration Adult - Spanish
- Patient Registration Child - Spanish
*We are committed to keeping your personal information secure. All of our online forms are submitted via a secure connection and are HIPAA compliant.
Make a Payment
We like to make paying for orthodontic treatment as easy as possible. If you are a current patient, you can make a secure online payment here.