Patient Forms

NEW PATIENTS

WELCOME to Burlington Orthodontics! We can’t wait to meet you! Right after your initial phone call we emailed you a new patient intake package with forms to be submitted prior to your initial visit (including medical history form). Please submit these as soon as possible.

Please click below for additional COVID-19 forms that need to be completed 24 hours before your appointment:

Supplemental Health Questionnaire

Supplemental Informed Consent Form

CURRENT PATIENTS

We ask that all patients in treatment/retention complete these forms online prior to their appointment. Please submit these forms 24 hours before your appointment.

Supplemental Informed Consent Form – Please complete and submit this form ONLY prior to your first appointment following our re-opening date after the COVID-19 shutdown.

Supplemental Health Questionnaire – Please complete this form before every appointment.

Please click HERE for the instructions (everything you need to know) for the day of your orthodontic appointment.