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PATIENTS FORMS

Speed up your visit by downloading and filling out any of our patient forms before you get here.

Patient-FormsThank you for your interest Bar-Zion’s Orthodontics. We look forward to meeting you soon.

To help us speed up your initial examination, we are providing you with medical/dental history forms that you may complete at your convenience. Please bring this form to us at the time of your initial examination. We encourage you to ask any questions you may have at this appointment and at any point throughout treatment. The better we communicate, the better we can care for you and your family. Your questions are always welcome.

Please take a minute to print and fill out our Patient Medical History Form and our Acknowledgement of Privacy Practices Form before your first appointment.

• Patient Form (PDF)
• Patient Form (Adult) Spanish (PDF)
• Notice of Privacy Practices (PDF)

If you’re unable to open PDF files, you can get Adobe Reader® for free.