Patient Forms

Please print and fill out these forms for your first visit

Health History Patient Consent

At Cheron Orthodontics we keep your personal information safe and secure. All of our forms can be submitted via a secure connection and are HIPAA compliant. We take every precaution to ensure that your records are kept secure and private.

If you are unable to submit these forms prior to your first visit, you are welcome to fill them out in our office.

 

Please complete the following before each appointment

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