Request an Appointment

Patient Forms

Please take a minute to print and fill out the patient information form before your first appointment:

  • Patient Form (Child) PDF | DOC
  • Patient Form (Adult) PDF | DOC
  • Smile Club Certificate PDF
  • Smile Club Program Guide PDF

Our Brace Bus requires that you fill our a few forms:

  • Relase and Consent to Transport pdf
  • Daily Permission Form for the School  pdf


If you're unable to open PDF files, you can get Adobe Reader® for free.

American Association of Orthodontists Invisalign Suresmile Suresmile
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