Patient Forms

Preparing for Your Orthodontic Visit

Completing patient forms before your appointment gives our team time to review important health, dental, insurance, and contact information. Accurate information helps the doctor understand factors that may affect orthodontic diagnosis, treatment planning, appliance selection, or appointment scheduling.

Before You Submit Your Forms

Please complete each required field and review your answers for accuracy. Include current medications, allergies, relevant medical or dental history, and the names of providers involved in your care when requested. A parent or legal guardian should complete forms for a minor patient.

If you have recent dental records, X-rays, insurance information, or a referral from another provider, contact our team to ask whether those materials should be sent before your visit. Protect your privacy by using the secure submission options provided on this page rather than sending sensitive health information through ordinary email.

Bring questions about treatment goals, timing, costs, or previous orthodontic experiences to your consultation. If you need help accessing or completing a form, call The Schulhof Center before your appointment.