Patient Forms

At Dr-Braces, we prioritize your convenience and care. Here, you can easily access, complete, and submit the necessary forms to ensure a smooth and efficient visit.

Our commitment goes beyond treatment – it’s about making your experience as comfortable and personalized as possible.

P.S.: Please complete the form and email it to info@dr-braces.com once finished.

If you have any questions or need further information, please don’t hesitate to reach out to us during our office hours at the phone number provided. We’re here to assist you and ensure all your orthodontic needs are met.
Phone:  (571) 467-6453

Medical Dental History Form for Adult Patients

  (PDF) Medical Dental History Form for Adult Patients 

Medical Dental History Form For Patients Under Age 18

(PDF) Medical Dental History Form For Patients Under Age 18

Delivery of Orthodontic Services by Teledentistry

(PDF) Delivery of Orthodontic Services by Teledentistry

Informed Consent

(PDF) Informed Consent

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