Downloads/Links

Downloads
For your convenience, you can download and complete the forms below, and bring them to your first visit. Thanks!

 

NEW PATIENTS

New Patient - Adult | pdf, 16 KB

New Patient - Youth | pdf, 16 KB

Consent for Use and Disclosure of Health Information | pdf, 72 KB

Notice of Privacy Practices | pdf, 128 KB

Acknowledgement of Receipt of Notice of Privacy Practices | pdf, 60 KB

Medical History | pdf, 16 KB

 

EXISTING PATIENTS
Patient Information Update | pdf, 14 KB


READING
ORTHODONTIST: Some things — like braces — should not be DIY
Austin-American Statesment, June 9, 2016

 

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Important Link

 

Watch the SWAT video on YouTube.  (Straight, White, Attractive Teeth)