New Patient Forms

We offer a FREE  New Patient consultation!  The entire team at German Orthodontics looks forward to providing you with the ultimate orthodontic experience.

For your convenience, we’ve made our patient PDF forms available for download so that you can fill them out prior to your visit to expedite the new patient process. Just download the form, fill it out and bring it with you.

Adult Acquaintance Form: New patients should print and complete this form for their first visit.

Youth Acquaintance Form: New patients should print and complete this form for their first visit.

TMJ History Form: New patients with TMD (jaw pain) should print and complete this form for their first visit.

Notice of Privacy Practice (HIPPA) (posted March 31, 2010)

Insurance Information form (posted March 29, 2010)

Having trouble downloading the forms?  Download free PDF reader software here