Dear Parent or Guardian,
During a first orthodontic visit, you will need to fill out a form providing us with all the information relating to the general and oral health of your child or youth.
THERE ARE 2 OPTIONS TO PROVIDE US WITH THIS FORM:
DOWNLOAD the form below.
Children/Teens Orthodontic Form (PDF)
Print the form at home, then bring it on your first visit, or email it to us in advance. [email@example.com)
FILL OUT the form below ONLINE
NOTE: Any cancellation of an appointment must be submitted by phone or email at least 48 business hours in advance, otherwise, a service charge may apply.