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Orthodontic patient forms

For your convenience, we provide our forms online so you can access them easily and fill them out prior to your appointment. Once you complete the forms, simply click “Submit” at the bottom of the page.

We are committed to keeping your personal information secure. As such, all our online forms are submitted via a secure connection and are HIPAA compliant.

2317 Stony Brook Dr.
KY, 40220

502-895-3473 Directions & Opening Times

313 Guthrie St.
KY, 40202

502-890-6508 Directions & Opening Times

208 N. Second St.
KY, 40004

502-349-6300 Directions & Opening Times

219 W. Main St.
KY, 40033

270-984-8515 Directions & Opening Times