Please find the links to a variety of Pure Orthodontics’ forms below:

Before you visit the office for the first time, please complete the form below:

New Patient Form

For new patients, we ask that you please print and complete the following forms, and bring them with you to your first appointment:

Medical Dental History Form

Virtual Smile Assessment Form
Virtual Smile Assessment Form

Insurance Confirmation Form

To refer a patient, please complete the form below:

Doctor Referral Form