New Patient FormS

To ensure the most efficient use of your consultation at the office, we ask you fill out all your new patient forms before your appointment.

These forms are available online and can be conveniently completed on your mobile device or computer for electronic submission.

1. New Patient Registration Forms

Please allow yourself about 10-20 minutes to complete this form, which includes questions regarding patient information, medical and dental history, and dental insurance (if applicable). There is also a HIPAA and photo authorization form, which includes information about our Privacy Practice policies, and will allow us to take any photos during your consultation.

Kind Orthodontics | Orthodontic Services Available to Dublin, California