Patient Forms

patient forms

As a courtesy to you, we have made our patient health history forms available on-line for you to complete at your leisure prior to your initial consultation appointment arrival at Pawelek Orthodontics. Prior completion of these mandatory forms allows for an enhanced experience at our office and allows you to concentrate most importantly on yourself.

Please take a minute to print and fill out the patient information form beforehand.

  • Online New Patient Form
  • HIPAA Information and Consent Form PDF
  • Social Media Consent Form PDF
  • If you're unable to open PDF files, you can get Adobe Reader® for free.

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