Patient Forms

If you are a new patient, please take the time to complete the following applicable forms, and click the “Submit” button at the bottom of each form.

Request Appointment

Child New Patient Information

View Form

Adult New Patient Information

View Form

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

 

Why Choose Our Practice

Patient First Approach

We put your needs first to achieve efficient and comprehensive treatment in a supportive and nurturing environment.

Welcoming Team

We know that our office is only as effective and as welcoming as the people who work in it, which is why we take pride in our friendly and well-trained team members.

Interest Free Payments

We understand that orthodontic treatment can be a big investment. To help fit it into your specific budget, we are happy to offer zero-interest payment arrangements.

Our Satisfied Patients

We love hearing from our patients! Thank you to everyone who has taken the time to provide us with feedback. It means the world to us!

The staff was so friendly. Dr Pollard was so kind and informative. An excellent experience and very trustworthy!
Jonelle S.Review on Google
They are always helpful and efficient and have made myself and my daughter feel at ease about any of the procedures needed.
Tamiko K.Review on Google
The staff here are amazing. Very friendly and accommodating. The office is clean and comfortable. They offer great payment plans and options. I highly recommend them for your orthodontic needs.
Lisa M.Review on Google
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