Doctor Referral Form - Authentic Orthodontics
Schedule a Complimentary Consultation
Contact us today for a complimentary consultation!
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Patient Forms

Please prepare for your first appointment by completing our new patient information forms. Download the forms to your computer to complete at home, then bring them with you to your first appointment.

1. Photo Consent and Health Agreement

2. Adult New Patient Form

3. Child New Patient Form

Call us to get started

No referral is needed to make an appointment - call our office to set up yours today. During the initial examination, we will be able to determine the best possible treatment for your individual needs, outline your individual treatment plan, expected treatment time, and cost. We understand that you have a busy schedule, and we will work with you to make sure each office visit is as convenient as possible.


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Please answer the simple math question below to submit the form.
2 + 2 =