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!

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

  • Date Format: MM slash DD slash YYYY

Two
Convenient
Locations

WELLINGTON

1039 SR-7 Suite 102
Wellington, FL 33414
Phone: (561) 795-2734

WEST PALM BEACH

2424 South Dixie Highway
West Palm Beach, FL 33401
Phone: (561) 659-7660