Patient Forms

hbrace4You may access the following new patient forms to assist us with your care. Please complete the following forms, and click the "Submit" button at the bottom of each form.

We are committed to keeping your personal information secure. All of our online forms are submitted via a secure connection and are HIPAA compliant.


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Mattingly & Howell Orthodontics

  • Jefferson County Location - 2317 Stony Brook Dr., Louisville, KY 40220 Phone: 502-895-3473
  • Jefferson County Location - 7206 Dixie Hwy., Louisville, KY 40258 Phone: 502-933-2323
  • Jefferson County Location - 313 Guthrie St., Louisville, KY 40202 Phone: 502-890-6508
  • Nelson County Location - 208 N. Second St., Bardstown, KY 40004 Phone: 502-349-6300
  • Marion County Location - 219 W. Main St., Lebanon, KY 40033 Phone: 270-984-8515

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