New Patient Forms | Birmingham Orthodontics

PATIENT FORMS

MANY WAYS TO FILL OUT YOUR FORMS!

Online

This link will direct you to a secure server where you may complete your new patient information online. All of our online forms are submitted via a secure connection and are HIPAA compliant.

Download & Print

You can download new patient paperwork in advance or arrive 10 minutes early and we’ll be happy to help.

New Patient Information  |  Medical History  |  Insurance

NEED MORE INFORMATION? CONTACT US TODAY!

PATIENT INFO

Access your account balance, make online payments, and view your scheduled appointments in one place.

SEND US AN EMAIL OR CALL TODAY!

LIFETIME SMILE GUARANTEE

If you’re not happy with your smile for any reason, we’ll fix it at a substantial discount!