Patient Forms

Save time! Prior to your first visit please complete the New Orthodontic Patient Registration form.

Simply fill out the online form and click “submit”. It may be helpful to have your medical or dental insurance information close by.

New Patient & Medical History Form | Click Here

If your visit will involve a TMJ exam, please fill out this additional form. We know your time is valuable, and Zaytoun Orthodontics makes every effort to make your visit as simple as possible!

TMJ History Form (For TMJ Exams Only) | PDF Click Here

All information submitted online is confidential and is accessed only via a secure, encrypted interface.

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