AFFORDABLE BRACES

Online Office Forms

We encourage our orthodontic patients to watch the short Informed Consent Video produced by the American Association of Orthodontists. At the end of the video you will be asked to agree to the consent, fill out a short form and be able to list any questions or comments. You can watch the video by clicking the button below.

New Patient Forms		New Patient Forms
	Florida Patients:		Georgia Patients:
	Download all 3 Forms (or individually below)		Download all 3 Forms (or individually below)
	1 - AffordableBraces Registration Form		1 - ClearSmilesAtlanta Registration Form
	2 - Medical History Form Fl Pts		2 - Medical History Form Ga Pts
	3 - Insurance Information Form Fl Pts		3 - Insurance Information Form Ga Pts

Sign Up Forms		Miscellaneous
	HIPAA Disclosure Form		Early Removal Release
	Appointment Policies		Ortho Treatment Completed
	BRACES Informed Consent		Retention Letter
	BRACES Treatment Agreement		Earn Your Smile Voucher
	Financial Policy		Florida Office Maps
	Informed Consent Acknowledgement		Peridontal Screening
	INVISALIGN Informed Consent
	INVISALIGN Treatment Agreement

All forms above are in PDF format and require the FREE