Forms
On this page we have available for you in pdf format, forms and regiments that you might want to print, fill out and bring into the office or print and use for daily reference.
New Patient
Office Policy
Please print, read and sign this form and bring it with you for your first office visit in order to save time with paperwork on initial check-in. Download...
New Patient
A form we ask you to print, fill out, sign and bring with you to your first visit. It asks for all the essential information we need to give you all the care you expect and deserve. Download ...
New Patient Questionaire
Please print, fill out and bring with you to your first visit to our office.
Download...
Orthodontics/TMJ
Orthodontics Consent Forms
Before starting craniofacial orthopedic, or appliance therapy please download, print and sign the consent form we require for out files. Download...
Orthodontic wear and care instructions
Please print and use the instructions in this document to maintain your appliances. Download...
Recommendations for Mouth Breathers
This document enumerates methods to ease the effects of mouth breathing from the elimination of reasons for allergy to breathing exercises. Download...
TMJ Health Questionaire
In case of TMJ problems (Temporo Mandibular Joint) please print this document, fill it out and bring it with you to your office visit. Download...
Sleep Apnea
Epworth Sleepiness Scale
How likely are you to doze off or fall asleep in the situations described in this form, in contrast to feeling just tired? Download...
Nighttime Sleepiness Evaluation
Screening for Sleep Apnea - Developed by David White, Boston, Massachusetts, 1998. Download...
Checklist for the Pediatrician
to determine the need for early jaw orthopaedic intervention in a child with a wrong orofacial growth pattern and upper airway deficiency. Download...
Physician's Checklist
on sleep apnea risk factors. Download...
Other
Instructions for patients with periodontitis
Please print and use the instructions in this document to assist in the treatment of periodontitis. Download...
Homeopathic Info Sheet
Please print and use the instructions in this document in order to get the most from your homeopathic treatment. Download...