Useful Information

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Prior to your first office visit, we will mail to you the following patient information forms.  Please complete the forms and bring them with you to your initial consultation. Dependent upon your type of payment (insurance, self-pay, etc.) there may be more forms to complete during your visit with us. Don’t worry, all of your information remains strictly private.

 

For your convenience, if you would like to review the patient information forms as well as our patient privacy notice, you may download the forms by clicking on the “DOWNLOAD FORM” link for each form.

 

 medical_checklist

Download Patient Information Form 

 

 

 

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Download Dental/Medical History Form 

 

 

 

 

 

Insurance Authorization Form

 

 

 

 

 

 

 

Download Privacy Notice

 

 

 

 

 

 

 

Privacy Consent

 

 

 

 

 

 

 

Brace Express Bus Ticket