New Patients:  Please print and complete the appropriate patient form. We kindly ask you bring the completed form along with your insurance card to the first appointment:

  • Patient Form (Child) PDF
  • Patient Form (Adult) PDF

The person responsible for financial payment is required to attend the first appointment.  


Helpful Forms during Treatment:  These forms are given at the appropriate time during treatment.

  • End of Phase 1 Treatment PDF
  • Headgear/Facemask PDF
  • Orthodontic Care PDF
  • Palatal Expander PDF
  • Vacuum Formed Retainers PDF



Fleming & Wise Orthodontics Office Location