Please print, complete, & bring forms to your first visit.

Every patient needs 2 forms:

  1. Medical History

  2. Informed Consent

Medical History

Wirthlin Orthodontics Patient Forms Medical History gustavo-scafeli-764922-unsplash.jpg

Medical History

Download Now
 

Informed Consent

Wirthlin Orthodontics Patient Forms Informed Consent

Informed Consent (English)

Download Now

Consentimiento Informado (Español)

Download Now