Patient Forms

Please complete our online new patient intake form as soon as possible to allow us to gather the information needed for your patient file and to help us prepare for your first visit. If you have dental insurance with an orthodontic benefit, please be sure to fully complete that section so that we may help you determine how much of the orthodontic treatment fee your insurance may cover.

Please be aware of the following changes. We appreciate your understanding:

  • Please arrive 5-10 minutes early to complete a COVID-19 screening.
  • Broken brackets or appliances MUST be reported ASAP so we can schedule your appointment appropriately. We may need to schedule more time to repair broken brackets. If we do not know about them until your appointment time, you may be rescheduled.
  • Our brushing sinks are closed. Please brush and floss well before your appointment.


If you have any questions or concerns, please do not hesitate to contact us by phone at 509-965-4114 or by text at 509-424-5381.