New Patients

New Patients

Complete the medical/ dental history forms, through our secured website. Please be assured that all forms are HIPAA Compliant. We look forward to meeting with you and discussing your orthodontic needs.

New Patients - Child
New Patients - Adult
Hipaa compliance form

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10055 Miller Avenue, Suite 103, Cupertino, CA 95014

826 Altos Oaks Drive, #3, Los Altos, CA 94024

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