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

Because of patient privacy requirements, we cannot accept emailed forms. Please help us protect your privacy by printing the forms and bringing them with you.