Patients

Ultimately, orthodontics does more than make a pretty smile – it creates a healthier you.

You can use the PATIENT LOGIN button above to view your account balance and check your appointment schedule.

For your convenience, you may download, print and fill out the following forms and bring them to your next appointment:

New Patient Form
HIPAA Patient Acknowledgment and Consent
Informed Consent

Transfers Records Forms

If you are transferring from another orthodontic practice, you may also download, print and fax this form to my office at (678) 401-6263 and we will request your records. There is a generic form if you are transferring from another orthodontic practice and a specific form if you are transferring from my previous practice.

Record Request Form Generic
Record Request Form POC

These forms require Adobe Acrobat Reader.
If you do not have Adobe Acrobat Reader, click the Adobe logo to download.