Patient Forms

For your convenience, our patient forms are available online. In order to save time and make the most of your visit, please bring your completed forms to your first appointment!

download adult patient form
download child patient form

Please assist us by providing the following information at your first visit:

  • Any panoramic X-rays taken within the past six months.

  • If you have orthodontic insurance, bring your insurance card. By providing this information at the first visit, we will be able to give you an estimate of your costs. Learn more >

Request a Complimentary Consultation


Freedman and Haas Orthodontics Wellington Florida
freedman and haas orthodontics