- Patient FormsIf you would like to spend less time in the waiting room, please complete the following forms in advance and present them to the receptionist when you check in.
Consent Form
Medical History Form
Notice of Privacy Form
Patient Registration Form
Signature on File
Orthodontic Patient Registration
Orthodontic Medical History Form - Payment MethodsWe accept Cash, Visa, Master Card, Discover and American Express, Care Credit. Financing options are also available
- Accepted InsuranceWe accept all PPO and some HMO insurance plans. Please call if you have any questions or to check if we carry your specific plan.
- Cancellation Of AppointmentsOut of Courtesy, we request at least 24 hours notice if you need to cancel your appointment. Missed appointments are considered a broken appointment
Information For Your Visit
Information For Your Visit
- Patient FormsIf you would like to spend less time in the waiting room, please complete the following forms in advance and present them to the receptionist when you check in.
Consent Form
Medical History Form
Notice of Privacy Form
Patient Registration Form
Signature on File
Orthodontic Patient Registration
Orthodontic Medical History Form - Payment MethodsWe accept Cash, Visa, Master Card, Discover and American Express, Care Credit. Financing options are also available
- Accepted InsuranceWe accept all PPO and some HMO insurance plans. Please call if you have any questions or to check if we carry your specific plan.
- Cancellation Of AppointmentsOut of Courtesy, we request at least 24 hours notice if you need to cancel your appointment. Missed appointments are considered a broken appointment