Summer Orthodontics

smiles for a lifetime

Patient Forms

Please take a minute to print and fill out the patient information form before your first appointment:

  • Patient Form (Adult) | PDF
  • All About Me Form (Adult) | PDF
  • Patient Form (Child) | PDF
  • All About Me Form (Child) | PDF
  • HIPAA Acknowledgement | PDF
  • Informed Consent Form | PDF
  • Authorization for Release of Information PDF

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