For new patients, please download, print and fill out this form before arriving for your first appointment.

This notice describes how health information about you may be used and disclosed and how you can get access to this information.

Please review our Office Policy which addresses oral hygiene, compliance and behavior, payment/payment plans, and appointment attendance.

Download and fill out this form if transferring to Schuchert Orthodontics from another practice. Read this advice about transferring as well.

f you are a doctor who is referring a patient to us, please fill out and submit the following form. Also available as a PDF.