RAYNHAM (508) 880-5891
NANTUCKET (508) 228-1085
DARTMOUTH (508) 990-3000
LAKEVILLE (774) 409-2500
MANSFIELD (508) 339-5500

New Patient Forms

For information regarding your first visit, see our First Visit page. Our FAQ’s page answers many common questions by new patients. And our Oral Hygiene and Foods to Avoid pages will help you learn how to keep your smile clean and healthy during orthodontic treatment.

New Patient Forms

You may access the following forms to assist us with your care. Please print and fill out the desired form, then bring it to your appointment.

You may have a PDF Preview Browser Plug-in either installed or enabled on your system. PDF Preview Browser Plug-ins DO NOT contain all the necessary features that are required to submit forms online. If you would like to submit your forms online please follow the instructions below, these links may help you enable the Official Adobe Acrobat Reader for your browser.

1)Get the latest official release of Adobe Acrobat Reader


2)When asked make sure you enable Adobe Acrobat as your default PDF viewer
3)Make sure that you are running Safari in 32 bit mode
You DO NOT have Adobe Acrobat Reader installed and/or enable, if you would like to accurately view, fill-out, print or fill out our forms online please download Adobe Acrobat Reader

1)Get the latest official release of Adobe Acrobat Reader


If cannot submit the forms on line or if you do not want to download Adobe Acrobat Reader, please feel free to print our forms below, fill them out, and bring them into our office.

New Patient Welcome Letter

Child Forms

Adult Forms


View our New Patient Brochure - click here
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*These forms require Adobe Acrobat Reader to view. If you do not have Adobe Reader already installed on your computer, click the Adobe logo above to download.