New Patient Forms

We want to make your visit to our office as quick as possible.  Please print and complete these forms and bring them with you, along with your driver’s license and insurance card (so we can check how much coverage you qualify for with your insurance provider).

Just click on the name of the form to open it in a new tab/window, or right click and “Save target as …” to save the PDF document to your computer.

If you have any questions, please give us a call.

Orthodontic Patient Forms

New Orthodontic Patient Form – Aloha

Dentist Referral Form

We love referrals!  If you are contacting us from a dental office, please print this form and give it to your patient to bring with them when they come to our office.

Orthodontic Referral Form – From Dentists