Forms
Summerhill Orthodontist
To provide you with the most efficient new patient experience, please download and complete the forms below and bring them to your first appointment. Our team will take comprehensive records and address any concerns or questions you may have. If you have any problems downloading the forms, please contact our office and we will gladly send them to you.
Printable:
Orthodontic Treatment Clearance Form
Medical Dental History Form for Adult Patients
Medical Dental History Form for Patients Under Age 18
Medical Dental History Form for Patients Under 18 (Spanish)
Digital:
Orthodontic Treatment Clearance Form
Medical Dental History form for Adult Patients
Medical Dental History Form for Patients Under Age 18
Consent for Use and Disclosure of Health Information