Patient Forms

We would like to welcome you to Pawelek & Harris Orthodontics. 

In an effort to provide the best service and help reduce your time in the office, we ask that you complete your new patient form at least 24 hours prior to your visit. This can be done from your computer or phone by clicking the link below. We will have your information when you arrive for your first appointment!

Please complete our Online Health History Form

Or if you'd prefer to complete a paper version, please take a minute to print and fill out the patient information form before your first appointment.

  • Patient Form (Child) PDF | DOC
  • Patient Form (Adult) PDF | DOC
  • 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.