Patient Information
For your convenience, we have supplied our new patient forms in pdf format. If you wish, click on the link below, print, complete the forms at home, and bring them with you to your first visit! We look forward to greeting you!
Download Patient Forms
- Appointment Policy
- Medical History
- HIPAA Form
- Politica de Nombramiento
- Historia Médica
- Formulario de HIPAA
HIPAA Forms
Release of Medical Records
Accounting of Disclosures
Record Release to Patient
Alternative Communications
Web & Social Media Release Form
Notice of Privacy Practices
Privacy Practice Consent Release Form
Aviso de Prácticas de Privacidad
Formulario de autorización de consentimiento de práctica de privacidad
Patient
"The doctors at Crown Point Orthodontics are Amazing! I have a lot of anxiety when it comes to dental care and they understood how I feel and did a very good job making sure that I was comfortable and relaxed."
Patient
"The doctors at Crown Point Orthodontics are great and I always look forward to my visit there!"
Patient
"Excellent experience! Everyone from the front desk to the doctors are very friendly. Highly recommended!!"
