Patient Forms

Thank you for selecting Curtis Orthodontics for your orthodontic treatment and welcome to our office! Our practice goal is " A Better World, Through Better Smiles." We are very proud of our office and the quality care and service that we provide.

Your first consultation is complimentary. However, if you fail to keep this priority consultation visit there will be a fee of $120.00 to reserve another date and time. Your complimentary first visit will be pleasant, informative, and will include a comfortable detailed evaluation. Please plan to spend about 60 minutes with us. You will appreciate having the opportunity to discuss important treatment details at your consultation. Should the doctor recommend a special orthodontic x ray or impressions of your teeth in order to estimate treatment time and cost, these records may be taken during your visit. These records are complimentary to you for use in our office should you request a copy for use outside of our office the fee for this service is $120.00. We are committed to making it convenient for you to begin treatment and look forward to presenting flexible payment options in order to serve your individual financial needs. Please let us know how we may best assist you.

We ask you please complete a health history form 2-4 days prior to your consultation.

Please click on the link below and you will be directed to our website.

Adult Health History Form Child Health History Form

You may look forward to being seen promptly during your reserved time with the doctor, as a result of our On-Time Scheduling System. Please bring orthodontic insurance group numbers or claim forms if you would like us to assist you with billing. Also, there is much more information available about our office, Damon System braces, and Invisalign on our website www.breasmiles.com.

If you are unable to keep your priority appointment time for any reason, please call our office to reschedule. We are looking forward to meeting you!