Patient Forms


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 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


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.