New Patient Forms

At Go Clear Orthodontics, we want to make your first visit as smooth as possible. If you would please print the appropriate New Patient Medical History and HIPAA Acknowledgement Forms and bring it with you, completed, we can speed up your complimentary consultation.

1. New Patient Medical History
2. HIPAA Acknowledgement Form
3. Notice Of Privacy Practices Omnibus Rules
4. Photo & Text Consent

Due to patient privacy requirements, we cannot accept emailed pdf versions of each form. Please help us protect your privacy by filling out the online forms or bringing them with you to your appointment.