• What to Expect
    • Patient Forms
    • When Should I See an Orthodontist?
    • Caring for Your Braces & Retainer
    • Common Problems
    • Patient Testimonials
    • Financial Information
    • Refer-A-Friend
    • Office Contests
    • Early Treatment (Ages 7-9)
    • Adult Treatment
    • Surgical Orthodontics
    • Adolescents (Ages 10-18)
    • Retention
    • Orthodontic Appliances
    • Braces / Technology
    • Success Stories
    • Before and After Photos

Patient Forms

To help us with your chart, please download, print, and complete ALL of the appropriate forms (listed below). , Please bring them to your first appointment.

  • Patient Information
  • Welcome Page for Children
  • Family Care Program
  • Notice of Privacy Practices
  • Acknowledgement of Receipt of Privacy Practices
  • Consent for Use and Disclosure of Health Information

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These forms require Adobe Acrobat Reader to view. If you do not have Adobe Reader already installed on your computer, click the Adobe logo above to download.

  

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3210 Old Shell Road | Mobile, AL 36607 | P 251.471.8008 | F 251.471.0018
5011 Government Blvd. | Mobile, AL 36693 | P 251.471.8008 | F 251.471.0018

  • Patients
  • What to Expect
  • Patient Forms
  • When Should I See an Orthodontist?
  • Caring for Your Braces & Retainer
  • Common Problems
  • Patient Testimonials
  • Financial Information
  • Refer-A-Friend
  • Office Contests
  • Treatment
  • Early Treatment (Ages 7-9)
  • Adult Treatment
  • Surgical Orthodontics
  • Adolescents (Ages 10-18)
  • Retention
  • Orthodontic Appliances
  • Braces / Technology
  • Smile Gallery
  • Success Stories
  • Before and After Photos