Patient Forms

Here at Orthodontics Only, we understand how valuable your time is.  For the convenience of our patients and in order to reduce the time spent filling out paper work, we have provided all the forms needed for your initial consultation!  Simply click on each of the links below, download, print and complete the PDF forms.  Please remember to bring them with you on the day of your consultation.  If you have any questions or are having difficulties filling out the forms, feel free to contact our office and we will be more than happy to help you.

If you prefer to fill out the forms when you get to our office, that’s ok too!  You can enjoy our interactive waiting room with iPod’s, an XBox and a Playstation.  You’ll also find popular movies playing on our big screen TV and even look at pictures of our team and patients while you comfortably wait to be seen.  We can’t wait to meet you!

 

New Patient Forms

The following three forms are available to download instantly.  Each of these forms are required for your initial consultation and please feel free to print  and bring them with you to your first appointment.  The first form is a Medical and Dental History form which will let us get to know you a little better.  The iCat Informed Consent form is needed if Dr. Sanders recommends a 3D x-ray in order to evaluate tooth eruption, root formation, airway problems, TMJ problems and skeletal relationships.  Finally, the Notice of Privacy Policy form is to let you, the patient, know that our office will maintain the privacy of your health information as required by law.


About the Author: Derek Sanders is an Orthodontist at Orthodontics Only in Miami, FL. He has numerous publications and has lectured extensively on topics including braces and Invisalign. Dr. Sanders teaches at the University of Miami and is on the Craniofacial Team at Miami Children's Hospital. He has a blog and can also be found on Google+. See more articles by Derek Sanders.

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