THOUSAND OAKS
ORTHODONTICS

WELCOME NEW PATIENTS

Welcome to Thousand Oaks Orthodontics! We’re excited to help you on your journey to a healthier, more confident smile. To ensure your first visit is seamless, we’ve made our new patient forms available online for your convenience. Simply fill out the forms before your appointment to save time in the office. This information helps us better understand your dental history and create a personalized treatment plan tailored to your needs. If you have any questions while completing the forms, don’t hesitate to reach out—we’re here to help!

New Patient Forms
Please take a moment to download and print the new patient paperwork provided here as downloadable .pdf files.
Completing this paperwork prior to your appointment saves time on the day of your appointment. Thank you!

Blank New Patient Form

Click here to download a printable Blank New Patient Form.

Health History and HIPPA Form

Click here to download a printable Health History and HIPPA Form.

HIPPA Notice Form

Click here to download a printable HIPPA Notice Form.

Insurance Authorization Form

Click here to download a printable HIPPA Notice Form.

They Trusted Us.
They’re Still Smiling.