New Patient Form

Patient Forms

If you are a new patient, please download and fill out one of the health history forms below.

Once your form is submitted online it will automatically get integrated into our system. If you are bringing siblings with the same insurance and billing party information, only one of the child forms needs to have that information.

In addition, please read the following forms- then sign, print and bring with you on your 1st visit to our office.

Before you are wear your Invisalign braces it is important that you print the following form and bring with you to your next appointment.

Free Consultation

We would like to offer you a complimentary consultation at any of our office located in Newport Beach, CA, so we can create a treatment plan to suit your needs.

English Patient History Form
Spanish Patient History Form