New Patient Exam & Forms
Request a New Patient Exam
We would love to have you and your family be part of our orthodontic practice! Please call us at 707-255-4400 to set up your COMPLIMENTARY appointment or you may fill out the information below and we will contact you at a convenient time! We are available to call you from 7am to 5pm Monday through Friday.
New Patient Forms
We would greatly appreciate it if you take the time to complete the following forms before your first appointment! We look forward to meeting you!
Adults
- Adult new patient form (fill out online or download PDF)
- Privacy notice (download PDF)
Children
- Child new patient form (fill out online or download PDF)
- Child questionnaire (fill out online or download PDF)




