Patient Forms

Please complete your patient information form below before your first appointment. You may use your choice of either (1) downloading and filling out online, then securely emailing it to us; or, (2) printing out and mailing or bringing in at your first appointment. 

PDF forms to download to your computer, complete, and then email or print:

  • CHILD New Patient Form PDF to download, fill out online, save, & print or email...
  • ADULT New Patient Form PDF to download, fill out online, save, & print or email...
  • INSURANCE Form PDF to download, fill out online, save, & print and/or email...

Forms to Print Out and Complete By Hand to Mail or Bring In

Request Secure Email Access by Emailing Us at info@waorthodontics.com

 

Patient Login Portal: Click here

If you're unable to open PDF files, you can get Adobe Reader® for free.

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