New Patient Forms

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For your convenience, we have provided our new patient registration form online. In order to save time, we kindly ask that you fill this form out prior to your appointment with us.

Please access the following forms to assist us with your care. If you are using the online form, please complete and submit the forms securely via this website. If you are printing the forms, please print and complete, and bring them to your appointment.

Online Form

Printable Forms


adobe*The printable forms require Adobe Acrobat Reader to view. If you do not have Adobe Reader already installed on your computer, click the Adobe logo to download.

**We are committed to keeping your personal information secure. All of our online forms are submitted via a secure connection and are HIPAA compliant.

Contact Us

604 S. Watters Rd., Suite 150

Allen, TX 75013

Phone: (972) 390-1100

Allen Orthodontist

  • Allen Orthodontist - 604 S. Watters Rd., Suite 150, Allen, TX 75013 Phone: (972) 390-1100 Fax: (972) 390-1104

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