Patient Forms

Thanks for choosing Authentic Orthodontics!

To make your first appointment run smoothly, you can easily complete your New Patient Forms online, on a computer or mobile device.

New patients have 2 online forms to complete:

One of these Orthodontic Consultation Forms:

Your responses will be submitted to us securely and no personal details will be transferred by email.

If you have any questions, please give us a call.

If you need to provide us with extra insurance information...

In some cases, you may need to submit additional insurance information to us, either by request or because you were unable to provide it on the Orthodontic Consultation Form(s) above.

If that is the case, and only if that is the case, you may submit your additional insurance information here. Thank you.

Consultation Room