Patient Forms

Please take a minute to print and fill out the patient information form before your first appointment:

  • Patient Form (Child) PDF | DOC
  • Patient Form (Adult) PDF | DOC
  • Health Questionnaire PDF
  • Informed Consent for Orthodontic Treatment PDF

To sign this document electronically please click here:

If you’re unable to open PDF files, you can get Adobe Reader® for free.

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embracing beautiful, healthy
smiles for a lifetime
2935 Central St, Evanston, IL 60201
(224) 999-1355