Below you will find our patient forms for download. Please download and print these forms prior to coming in for your first visit. If you have any questions or need assistance filling these forms out, feel free to contact us.
Download and Print:
Adult New Patient Form (PDF)
Child New Patient Form (PDF)
Financial Insurance Policy (Word)
Patient Registration (Word)
We are always excited about meeting new patients during their first visit to our office. Your initial appointment will consist of a thorough examination and a discussion of potential treatment options. This important 30-minute visit will give us insight into your orthodontic needs. We know your time is valuable, so to expedite treatment, we may also reserve time following the exam for diagnostic records. The records include X-rays, photos and impressions for study models and are necessary for developing the appropriate treatment plan. This additional appointment will last approximately one hour.
During the initial examination for each patient, we will address the following questions that cover the basics of orthodontic treatment. We encourage you to ask questions as well.
While we can often answer these general questions about treatment during the initial examination, we will address specific areas after careful analysis of the diagnostic records. We feel it is important to analyze each patient's specific needs, because in-depth planning leads to superior results and higher patient satisfaction.
We will then schedule a consultation visit to discuss treatment options, time frames and financial arrangements. We insist that our patients leave the office with a clear understanding of their specific needs, what the treatment will consist of and how long it will take. Also, we will answer any additional questions.
Please assist us by providing the following information at the time of your first visit:
Your scheduled appointment time has been reserved specifically for you. We request 24-hours notice if you need to cancel your appointment. We are aware that unforeseen events sometimes require missing an appointment. After missing your second appointment without notifying us 24 hours in advance, you are subject to being charged an additional fee.
Is it required that my family dentist schedule my appointment with the orthodontist?
No, it is not. Many of our patients are referred by their family dentist, yet many other patients take the initiative to schedule an examination themselves.
At what age should I schedule an appointment for an orthodontic screening?
The American Association of Orthodontists recommends an orthodontic screening at age 7. By this age, several permanent teeth in most children have erupted, allowing us to effectively evaluate your orthodontic condition.
Will my teeth straighten out as they grow?
No, they will not. The space available for the front teeth does not increase as you grow. In most people, after the permanent molars erupt, the space available for the front teeth decreases with age.
How do I schedule an appointment for an initial exam?
If you or your child can potentially benefit from orthodontic treatment, simply call our office or send us an e-mail. We will be happy to schedule an appointment for you. When you call to schedule your appointment, our front office staff will request some basic information from you.
What will happen at the initial examination appointment?
Upon arriving, each patient will be asked for the new patient forms and insurance card. The doctor will then complete a thorough clinical exam. Additional information, such as X-rays or photographs, may be needed for proper diagnosis.
What will I learn from the initial examination?
There are five essential questions that we will cover during the initial examination:
Will I need to have teeth extracted for braces?
Removing teeth is sometimes required to achieve the best orthodontic result. Straight teeth and a balanced facial profile are the goal of orthodontics. However, because new technology has provided advanced orthodontic procedures, removing teeth is not always necessary for orthodontic treatment.
How long will it take to complete treatment?
Treatment time obviously depends on each patient’s specific orthodontic problem. In general, treatment time lasts from 8 months to 30 months. The "average" time frame a person is in braces is approximately 18-24 months.
How much will braces cost? Are financing options available? How does my insurance work?
It is impossible to give an exact cost for treatment until we have examined you. We will cover the exact cost and financial options during the initial examination. We have several financing options available to accommodate your needs, and we will review these with you. We will also review your insurance policy and help to maximize your benefit and file your claims.
How often will I have appointments?
Appointments are scheduled according to each patient's needs. Most patients in braces will be seen every 4 to 8 weeks. If there are specific situations that require more frequent monitoring, we will schedule appointments accordingly.
Can I schedule all of my appointments after school?
Unfortunately, we cannot schedule all appointments for students during after-school hours. However, because most appointments are scheduled 4 to 8 weeks apart, most patients will miss minimal school due to their orthodontic treatments. We will, however, make a sincere effort to meet your scheduling needs.
Can I drop my child off for an appointment?
Yes. We understand your busy schedule, and we are happy to help you make the most of your time. On some occasions, we may request to speak with a parent when they return, so we ask that parents check in with their patient manager before dropping off their child.
Do braces hurt?
Generally, braces do not "hurt." After certain visits, teeth may be sore for a few days. In these situations, pain medications such as Advil or Tylenol will ease the discomfort. However, after most visits, patients do not feel any soreness at all! We often remind our patients, “It does not have to hurt to work!”
Can I return to school the day I receive my braces?
Yes. There is no reason you cannot return to school the same day.
Do you give shots?
No. Shots are not necessary in orthodontic treatment.
Do you use recycled braces?
Absolutely not! It is our belief that each patient should be provided with their own braces to achieve the best orthodontic result possible.
Can I still play sports?
Yes. We recommend a mouth guard for all sports.
Do I need to see my family dentist while in braces?
Yes! Regular checkups with your family dentist are important while in braces. Your family dentist will determine the intervals between cleaning appointments while you are in braces.
Are there foods I cannot eat while I have braces?
Yes. Once treatment begins, we will explain the complete instructions and provide a comprehensive list of foods to avoid. Some of those foods include: ice, hard candy, raw vegetables and all sticky foods (i.e. caramel and taffy). You can avoid most emergency appointments to repair broken or damaged braces by carefully following our instructions.
How often should I brush my teeth while in braces?
Patients should brush their teeth at least four times each day - after each meal and before going to bed. We will show each patient how to floss their teeth with braces and may also provide a prescription for a special fluoride, if necessary.
What is an emergency appointment? How are those handled?
If your braces are causing extreme pain or if something breaks, you should call our office. In most cases, we can address these issues over the telephone. If you require an emergency appointment, we will set aside time for you.
Can orthodontic correction occur while a child has baby teeth?
Yes. Some orthodontic problems are significant enough to require early intervention. However, if a patient is not yet ready for treatment, we will follow that patient's growth and development until the time is right for treatment to begin.
What is Phase One (early) Treatment?
Phase One treatment, if necessary, is usually initiated on children between the ages of 7 and 10. Phase One treatment usually lasts about 6-18 months. The primary objective for Phase One treatment is to address significant problems to prevent them from becoming more severe and to improve self-esteem and self-image.
Will my child need full braces if he/she has Phase One treatment?
It is best to assume that your child will need full braces even after Phase One treatment. The period following Phase One treatment is called the "resting period," during which growth and tooth eruption are closely monitored. Throughout this period, parents and patients will be kept informed of future treatment recommendations.
Will my child need an expander?
At the completion of the initial examination, we will determine whether a patient will need an expander.
Is it too late to have braces if I am already an adult?
A surprising percentage of our patients are adults. In fact, 25 percent of all orthodontic patients are adults. Health, happiness and self-esteem are vitally important to adults. No patient is "too old" to wear braces!
Can I wear braces even though I have crowns and missing teeth?
Yes. A tooth with a crown will move just like a tooth with a simple filling. When teeth are missing, orthodontic treatment will aid in the alignment of the remaining teeth.
Why should you choose an orthodontic specialist?
Teeth, and sometimes entire facial structures, are permanently changed by orthodontic treatment. It is important that the treatment be appropriate and properly completed. Orthodontic specialists have extensive and specialized training that enables them to provide their patients with professional, personalized treatments.
American Board of Orthodontics
The world's oldest organization for orthodontists.
American Association of Orthodontists
The world's largest organization for orthodontists.
Invisalign is the clear way to straighten teeth without braces, using aligners. Learn more about the market's leading clear aligner.
Interactive Mystique® is the first, interactive ceramic bracket.
GAC In-Ovation R
In-Ovation-R is the orthodontic market's premier self ligating bracket with theINTERACTIVE clip.
Clarity™ Ceramic Braces may be used whenever metal braces are appropriate for treatment. While Clarity braces are strong like metal, they come off easily at the end of treatment. You can wear Clarity braces even if you participate in sports. Clarity aesthetic braces are the clear alternative to metal braces. An attractive translucent appearance and comfortable design gives you all the self-confidence you need to face each day with a smile.
iBraces are a new generation of invisible orthodontic braces for teens and adults. They are the only 100% customized orthodontic braces available on the market today. iBraces are placed behind your teeth so no one will know that you are wearing braces unless you tell them.
If you have additional questions, please call our Canyon Country office at (661) 251-7107, or our Valencia Office at (661) 702-1582, or contact us via email.