New Patients
At your first appointment, our caring and friendly office staff will welcome you and ensure that your visit at Valparaiso Orthodontics Group is as comfortable and enjoyable as possible. If you have fear or anxiety about visiting the dentist, we will do our best to alleviate any concerns you may have. Our dentists and staff are great at explaining what needs to be done and how it relates to your oral health and overall health. Your confidence in our care is our most important priority.
Patient Forms
Save time at the office by downloading and filling out our patient forms by clicking the links below:- Financial Policy (140 KB)
- Orthodontic Consult Forms(Wall St) (163 KB)
- Orthodontic Consult Forms(Wheatfield) (163 KB)
- Acknowledgment of Receipt of Privacy Practices (46 KB)
- HIPAA Patient Consent/Acknowledgement Form (32 KB)
- Notice of Privacy Practices (48 KB)
- COVID Consent Form (Wall St) (86 KB)
- COVID Consent Form (Wheatfield) (86 KB)
- Automated Communication Consent Form (86 KB)
- Health History Form (121 KB)
- Adult Sleep Questionnaire (265 KB)
- Pediatric Sleep Questionnaire (126 KB)
Formas de Pacientes en Español
Ahorre tiempo en la oficina descargando y completando nuestros formularios para pacientes haciendo clic en los siguientes enlaces:- Ortodoncia (Wall St) (163 KB)
- Ortodoncia (Wheatfield) (163 KB)
- Política Financiera (100 KB)