Health History form available for download

Before your first appointment, follow the 3 steps below:

1. Adobe Reader is required to view these documents. If your not able to open the documents, click here to download Adobe.

2. Download our Patient Information and Medical History documents (below) and print them out.

Account and Insurance Information

Child Health History Form

Adult Health History Form

3. Fill them out completely and hand them to the our staff when you arrive for your first appointment.

We offer CareCredit

CareCredit for Orthodontic Procedures

We're pleased to offer our patients CareCredit, North America's leader in patients payment plans. CareCredit lets you begin your treatment immediately - then pay for it over time with low monthly payments that fit easily into your monthly budget.

Your healthcare credit card.

CareCredit is the credit card exclusively for healthcare services. With no up-front costs and no pre-payment penalties, CareCredit lets you pay over time and frees up cash and credit cards for the other things you want or need. CareCredit offers low monthly payment plans for healthcare procedures not commonly covered by insurance, including dental treatments. Plus, you can use your card again and again to pay for additional treatment for yourself or family members in any CareCredit practice.

• Low minimum monthly payments
• No up-front costs, no pre-payment penalties

Learn more by visiting CareCredit.com or contacting our office. Ready to apply? Apply online for your CareCredit card today!

Calculate your low monthly payment