Please fill this form out and submit it prior to your first consultation.
For your convenience, our New Patient Forms are completely electronic – no need to print and bring in any paperwork!
Please have your dental insurance information on hand. By providing your dental insurance information, we are able to pre-determine any orthodontic benefits prior to your initial consultation. This information will allow us to provide you a more accurate accounting of what your out-of-pocket, orthodontic investment will be.
This form is expected to take 15-20 minutes to complete.
Use this simple form to request an appointment. We will try to accommodate your requested time and make it as convenient as possible for you!