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:

Appointment Policy

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:

Appointment Policy

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

Supplemental Informed Consent Form

BSMorgan Services, LLC Form

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